Page 1 Philips M1165/66/67/75/76/77A CMS Patient Monitoring System Philips M1205A V24 and V26 Patient Monitor User’s Reference Manual Volume 1 System Information Part Number M1046-9220L Printed 02/2003...
Page 2 Philips Medical Systems shall not be liable for errors contained herein or for incidental or consequential damages in connection with the furnishing, performance, or use of this material.
Page 3 The M1165/66/75/76A Systems comply with UL544, CSA 22.2-125, IEC 601-1, EN 60601-1, and EN 60601-1-2 and carries Marking to Council Directive 93/42/EEC, European Medical 0366 Device Directive (MDD). The M1167/77A Systems comply with UL2601-1, CSA 22.2 No. 601.1-M90, IEC 601-1, EN 60601-1, and EN 60601-1-2 and carries Marking to Council Directive 93/42/EEC, 0366...
Page 4: Electromagnetic Interference
Add external attenuators. If EMI becomes an unusually difficult problem external devices such as an isolation transformer or a transient suppressor may be of help. A Philips Customer Engineer can be of help in determining the need for external devices. Electromagnetic Compatibility (M1205A Only) The electromagnetic compatibility (EMC) validation of the M1205A included testing performed according to international standards for EMC with medical devices.
Page 5: Description
The Philips M1165/66/67/75/76/77A CMS Patient Monitoring System and the Philips M1205A V24 and V26 Patient Monitors are network connectable bedside patient monitoring devices. The Philips M1205A Models V24CT and V26CT may powered by either AC line power or by battery power.
Page 6: Indications For Use
V24 and V26 Patient Monitors are indicated when the purpose is to gain information for treatment, to assess adequacy of treatment, or to rule out causes of symptoms. The Philips M1165/66/67/75/76/77A CMS Patient Monitoring System and the Philips M1205A V24 and V26 Patient Monitors are well suited for patient monitoring.
Page 7: Prescription Versus Over-The-Counter
Indications for Use Prescription Versus Over-the-Counter The Philips M1165/66/67/75/76/77A CMS Patient Monitoring System and the Philips M1205A V24 and V26 Patient Monitors are prescription devices.
Page 8 Warnings, cautions, and notes are used throughout this User's Manual to give you additional information about the Philips M1165/66/67/75/76/77A CMS Patient Monitoring System and the Philips M1205A V24 and V26 Patient Monitors. The warnings and cautions included in this safety section refer to the equipment in general.
Page 9: Maintenance
(SDN). • Do not connect a second rack by a cable when using a module rack docked to the back of the V24CT or V26CT. Using a second rack connected by a cable may disrupt module communication. Caution A “caution” calls attention to a condition or possible situation that could cause injury to the user.
Page 10 Philips Medical Systems to be repairable. A list of Philips Sales and Support Offices is provided at the end of this manual. Notice to the User...
Page 11: Responsibility Of The Manufacturer
Philips M1165/66/67/75/76/77A CMS Patient Monitoring System, the Philips M1026A Anesthetic Gas Module and the Philips M1205A V24 and V26 Patient Monitors, wherever available. If non-Philips parts are used, Philips Medical Systems is not liable for any damage that these parts may cause to the Philips equipment.
Page 12 Responsibility of the Manufacturer...
Page 13: Table Of Contents
9. Neonatal Event Review 10. Data Transfer 11. Monitor Installation and Patient Safety 12. Battery Information (V24CT and V26CT only) 13. Maintenance Volume 2 contains chapters 12 to 22 (see the table of contents of Volume 2 for more details): 14.
Page 14 V26CT/V24CT Power Supply ........
Page 15 Performance Specifications of the Philips Displays ........1-37...
Page 16 Selecting the Number of Waves ..........3-13 Procedure .
Page 17 Configuring the Other Patients Controls ........4-7 Using Philips Patient Care System with an Arrhythmia Computer ......4-8 Extended Overview (CMS only) .
Page 18 Recorders ..............6-2 Controls and Indicators on the Plug-In Recorder.
Page 19 Changing the Recorder Speed..........6-43 Changing the Recorder .
Page 20 Neonatal Event Review Introduction to Neonatal Event Review ..........9-2 Viewing Neonatal Events .
Page 21 Accessories and Ordering Information ......... . .11-37 Battery Information (V24CT and V26CT only) AC and DC (Battery) Operation .
Page 22 Pressure Module Self-Test ..........13-16 Performing the NBP Module Self-Test .
Page 23: The Cms And V24 And V26 Patient Monitors
Parameter Modules ....... 1-16 V26CT/V24CT Power Supply ..... . . 1-14 Operating Levels .
Page 24: Introduction
Introduction The Philips M1165/66/67/75/76/77 CMS Patient Monitoring System and the Philips M1205A V24 and V26 Patient Monitors, hereafter referred to as the “patient monitor”, are modular patient monitors with networking and data management capabilities. All the systems can have modules added or removed at a later time as needed, or you can interchange the modules between systems in your unit.
Page 25 M1167/77A System Display Module M1095A 10.4” Flatscreen Display Computer Module M1046B Computer Module Parameter Modules Satellite Rack The CMS and V24 and V26 Patient Monitors 1-3 Introduction...
Page 26 Display Module Computer Module Parameter Modules a. Philips offers the M1167/77A #H05 and #H07 (XGA Touchscreen display configuration). b. A 15” flat touchscreen display is also available separately under the order number M1097A #A02. A 17” CRT touchscreen display is also...
Page 27 All system types are also available as a choice of three different model types: Full Title The Philips CMS Patient Monitoring System The Philips CMS Patient Monitoring System for Anesthesia Care The Philips CMS Patient Monitoring System for Neonatal Care In this manual, the system will be referred to as the CMS, the ACMS Note—...
Page 28 Introduction Display Below are labeled diagrams of the display modules provided by Philips Modules Medical Systems. The control panel is described in more detail in the following sections The CMS and V24 and V26 Patient Monitors M1095A Flatscreen Display Module...
Page 29: V24 And V26 Patient Monitor
2. The Rack with Parameter Modules The V24, V24C and V26C are powered by connection to an AC power supply. The V24CT and V26CT can be powered by rechargeable batteries or by connection to an AC power supply. See “V26CT/V24CT Power Supply”...
Page 30: Control Panel
Introduction Control The control panel consists of softkeys, hardkeys and alarm lamps. Panel Softkeys The softkeys perform multiple functions. Their functions correspond to the labels displayed at the bottom of the screen. When no softkey labels are on the screen, the softkeys do not function. Hardkeys The hardkeys have only one function defined by the label on the key.
Page 31 Alarm Lamps The alarm lamps are lit when a red or yellow alarm condition exists. Alarm Lamps Silence/ Alarms Reset Main Suspend Screen Alarms Suspended Lamp Earlier versions of the V24 feature a Note— Trends/Calcs CMS Control Panel Other Monitor Module Trends/ Procedures...
Page 32: The Handheld Keypad
Introduction (CMS only): Handheld The handheld keypad consists of the same softkeys and hardkeys that Keypad are available on the control panel. In addition, the keypad provides data entry keys which enable you to enter letters, numbers, punctuation marks, and arithmetic symbols. The handheld keypad is the main means of operating the Note—...
Page 33: External Alarm Device
• To enter numbers and arithmetic symbols (labeled in white), simply press the keys you want. • To enter letters and punctuation marks (labeled in blue), press the Shift until normal. External (CMS only): Alarm Since the External Alarm Device is used only with commercially available Device ITE displays that do not have a control panel, it contains all the alarm lamps, the Alarms Suspended Lamp and the loudspeaker.
Page 34: Hardkey Functions
Introduction Hardkey Silence/Reset Functions or, if alarms are latching, to reset them. Suspend is indicated by the Alarm Suspend Lamp. Main Screen Change Screen or to access a 2nd or 3rd display. You can also freeze any wave movement on the screen (INOPs, alarms and numerics are not affected). Realtime Record recorder or a bedside recorder.
Page 35 The arrow keys consist of up/down/left/right keys. They only function when illuminated. The arrow keys allow you to move between areas on operating screens to enable you to change or adjust settings, perform procedures, or make changes to the screen display. Confirm This key functions only when it is illuminated.
Page 36: V26Ct/V24Ct Power Supply
Battery The V24CT and V26CT can be powered by 1 or 2 sealed 12 Volt lead-acid Power batteries with capacity. The rate of battery discharge is dependent on Supply temperature and power load.
Page 37 Battery Charge LEDs during this period to estimate battery capacity or turn the monitor off to accelerate the charge setting time. See Chapter 12, “Battery Information (V24CT and V26CT only)” for additional information on battery operation and Battery Charge LEDs and indicators.
Page 38: Parameter Modules
Parameter Modules Parameter Modules The parameter modules have one or more hardkeys on the front. The key labeled with the parameter name is called the Setup key, which gets you directly into the setup screen for that parameter. When you press the Setup key on the front of the module, and get into the parameter setup window or task window, a light appears above the key.
Page 39: Symbols To Indicate Key Functions
Service Mode, either by your biomedical engineering department or the Philips service engineer. You can find a description of this behavior (called “Parameter Settings Transfer”) in Chapter 3. Symbols to As detailed in the table below, some modules used with the M1046A CMS,...
Page 40 Same as Satellite Rack for Only one Satellite CMS. Rack can be used with a V24 and V26 Patient Monitor. Same as Satellite Rack for CMS. This can also be mounted to the back of the M1205A V24CT and V26CT Monitors...
Page 41 For most types of parameter modules, the system allows only one of each type per patient (ECG, for example). Other types of modules allow more than one per patient (Invasive Pressure, for example). If too many modules or an unsupported module are plugged in, a message detailing where the extra module is, appears in the system message field: Currently ignored module in rack position R-P where:...
Page 42: Operating Levels
Operating Levels Operating Levels There are three types of screens which you will see on the display module. The three types of screen and the interconnections between them are shown below. 1-20 The CMS and V24 and V26 Patient Monitors Standard Display 1st Level...
Page 43: Main Screen
Operating Levels Main Screen This display shows the waveforms and numerical readouts of the parameters you have chosen to monitor, alarms, INOP messages, bed label, date and time, and arrhythmia messages (when assigned). You can configure the number and position of the waveforms on the display screen.
Page 44 Operating Levels CHANNEL #1 LAYOUT: #1 NON-OVERLAP CHANNEL #2 CHANNEL#3 CHANNEL #4 1-22 The CMS and V24 and V26 Patient Monitors Adult 10 JAN 95 20:05 F HR PLETH Alarm Vol 165 QRS Vol 150 PULSE NUMERICS -0.2 135/72 (94) 34/16 (23) ETCO...
Page 45: Selection Window
Selection This is the first operating level where you can choose a specific activity or Window function. You get into a Selection Window by pressing one of the blue-labeled hardkeys on the control panel. When you get into the Selection Window the bottom line is always active. This is indicated by a bar below the keys and the yellow labeling.
Page 46: Task Window
Operating Levels Task This is the second operating level, which allows you to make changes or Window adjustments to the parameters and screen displays, or to perform procedures. Each parameter or procedure has a series of Task Windows. There are two ways to get into the second operating level: via the Selection Window, or for parameters: by pressing the Setup key on the parameter module.
Page 47: Getting Into The Operating Levels
Getting into Before you can start to make adjustments or changes to the parameters or perform a procedure, you need to know how to get into the operating Operating levels and how to navigate through the selections. Follow the procedures Levels below to get into the Selection and Task Windows.
Page 48 Operating Levels There are two reasons for changing the selection in the Task Windows: you will either want to move to the next Task Window, or make an adjustment to a setting. 1. To move to the next Task Window, press the softkey for the function you require, for example into the Filter/Mon/Diag Task Window where you can make any necessary adjustments.
Page 49: Touch Or Mouse/Trackball Operation
Touch or Mouse/Trackball Operation Touch or Mouse/Trackball Operation The M1167A/77A systems also allow connection of XGA displays, enabling touch (requires touchscreen displays), mouse or trackball operation of the monitor. Since these displays do not contain a control panel, there are slight differences in operating the system.
Page 50: Main Screen
Touch or Mouse/Trackball Operation Main Screen The layout of the main screen is basically the same as with other CMS, V24 and V26 Patient Monitoring Systems, with the only exception that it contains three additional buttons: the Silence/Reset button, the Suspend button (both in the upper right corner of the display) and the Control Panel button (in the lower right corner of the display).These buttons are touch-responsive and can be used alternatively to the hardkeys of the...
Page 51: General Touch/Mouse/Trackball Operation (Cms Only)
General If a touch-responsive object or area of the screen is selected (either by Touch/ touch or by mouse-click), a white ‘+’ appears and the area is surrounded Mouse/ by a white frame. In addition, an audible click is issued. The white frame Trackball disappears automatically when the object is released.
Page 52 Touch or Mouse/Trackball Operation Touch- Touch-responsive objects and areas of the screen include: Responsive • Numerics and Waves - When a numeric or wave is selected, the Objects respective parameter setup window opens up. • Alarms/INOP messages - Selecting an Alarm or INOP Message opens the alarm messages window.
Page 53 Touch or Mouse/Trackball Operation Alphanumeric A Touchboard can be accessed when alphanumerical data needs to be Entries entered. This is an alternative to the entry of data with the handheld keypad. The Touchboard can be activated with the “Touch Board” softkey e.g.
Page 54: Disabling Touch/Mouse/Trackball Operation
Touch or Mouse/Trackball Operation Disabling In order to prevent unintended or uncontrolled operations of the Touch/ monitor, touch operation must be disabled while cleaning the Mouse/ touchscreen. To disable touch and mouse/trackball operation press and Trackball hold or click and hold the control panel button in the lower right corner Operation of the main screen for at least four seconds.
Page 55: The Cms Computer Modules
The signals from the parameters being monitored are transmitted to the computer module, where they are processed and then displayed on the screen as waveforms and numerical readouts. M1046A The M1046A Computer Module is for use with the Philips M1165/66A and Computer the Philips M1175/76A CMS Patient Monitoring System. Module ECG Output and Defib.
Page 56: M1046B Computer Module
ECG waveform on the monitor display. If you are using a Philips defibrillator without a built-in recorder, the marker pulse from the defibrillator is returned to the monitor. If the Philips defibrillator has a built-in recorder, then the marker pulse is returned to that recorder rather than to the monitor.
Page 57: The V24 And V26 Parameter Module Rack
The V24 and V26 parameter module rack is attached to the display module by a cable to a connector on the left side of the display module. In addition, the V24CT and V26CT allow you to dock a 6-slot rack directly to the mainframe.
Page 58: Operating Rules To Remember
Operating Rules to Remember Operating Rules to Remember • Pressing • To get into a Selection Window press a hardkey. • What is labeled in yellow and appears “pushed in” is active. • Softkeys function only in the Selection and Task Windows (with the exception of the Alarm Volume Control and the QRS Tone Volume Control on the V24 and V26 Patient Monitors).
Page 59: Performance Specifications Of The Philips Displays
Performance Specifications of the Philips Displays M1095A Flatscreen Display Useful Screen: 5% unless otherwise noted) Pixel Size Storage Time at 25 mm/sec Trace Speeds M1094A/B and M1092A CRT Display Useful Screen: 5% unless otherwise noted) Pixel Size Storage Time at 25 mm/sec...
Page 60: Using An Ite Display
(IEC601-1; 44.3). (e.g. Philips M1389A), if the enclosure leakage current exceeds the requirements of EN60601-1/IEC601-1 (normal and single fault condition). The power cable must be secured so that the transformer cannot be disconnected without the use of a tool.
Page 61: Emc
System and the ITE display must not exceed a length of 3.0m. For cables exceeding 3.0m EMC testing according to IEC 801-4:1988 has to be done. Perfor- Philips cannot assure compliance with the ANSI/AAMI EC-13 Standard for mance Cardiac Monitors, Heart-rate Meters and Alarms when using ITE displays. Require-...
Page 62 Using an ITE Display 1-40 The CMS and V24 and V26 Patient Monitors...
Page 63: Getting Started
Getting Started Now that you have been introduced to the monitor you are probably ready to start using it. This chapter will help you get started. It contains the following sections: • Setting up the Monitor (V24 and V26 only) ... . 2-2 •...
Page 64: Setting Up The Monitor (V24 And V26 Only)
If you are using the V24CT or V26CT you can attach the 6-slot rack to the back of the mainframe display without the need for a cable. The two components will snap or dock together.
Page 65 2. If you are using the V24CT and V26CT and the batteries are not already in place, insert 2 Philips 40488A 12 Volt 2.3 Amp-hour sealed lead-acid batteries into the spring-loaded battery door in the back of the monitor. The batteries should be inserted with the grey Philips battery label facing upwards and the contacts pointing into the monitor.
Page 66 Warning Connecting the Philips monitoring network (SDN) cable when the product is powered on is not supported. Error codes and Philips monitoring network (SDN) interface lock-up may occur. Power cycling the product will recover the product. No permanent damage will result.
Page 67: Setting Up The Parameter Modules
Setting up the Parameter Modules 1. Decide which parameters you want to monitor. 2. Make sure the appropriate modules are plugged into the rack. If not, insert the module into the rack until the lever on the base of the module clicks into place.
Page 68: Attaching The Patient
Attaching the Patient Attaching the Patient 1. Attach the electrodes, probes, transducers, and insert pressure catheters as required for monitoring the patient. 2. Connect the electrodes, probes and transducers to the appropriate modules. After less than 10 or 20 seconds you should see a display on the screen similar to the one under “Main Screen”...
Page 69: Adjusting Screen Contrast
The V24 uses a contrast control. V24C, V24CT, V26C and V26CT are equipped with a brightness control. Make sure that all of the screen information is visible.
Page 70: Starting Monitoring
Attaching the Patient Starting Monitoring The patient's vital signs are now appearing on the screen. The pre- configured default settings for the parameters and screen display, that were set up at installation or have been stored in the module (“Parameter Settings Transfer”), are active. If you want to make changes to the screen display see the section “Configuring the System”.
Page 71: Reserving A Channel
this message stays as long as the ECG module is not plugged in. Prompt and status messages are displayed either in the appropriate Task Window, or at the top of the Main Display screen, depending on the operating level. On the Main Screen display the prompt and status messages are shown below the alarm and INOP messages.
Page 72: Power Failure
Attaching the Patient Power If a power failure occurs, any alarm conditions that were stored in the Failure monitor will NOT be retained when power is restored. Settings such as alarm limits stored in “T” modules ARE retained - see “Parameter Settings Transfer”...
Page 73 Attaching the Patient If your monitor is connected to a Philips patient care system while the monitor is in standby, no parameter data from your monitor is sent over the system. Instead, a message indicating that your monitor is in “Standby”...
Page 74 Attaching the Patient 2-12 Getting Started...
Page 75: Setting Up Your Monitor
Setting up your Monitor This chapter describes the characteristics of your system that can be changed during monitoring, using the key. It includes the following sections: • Changing Display Screens ......3-2 •...
Page 76: Changing Display Screens
Changing Display Screens Changing Display Screens A display screen is a pre-selected arrangement of realtime waveforms, numerics and overlayed application windows. A particular display screen can, for instance, be created to monitor a patient during a specific procedure in a department or unit. There are five separate display screens which can be configured.
Page 77: Selecting A Screen
Selecting a Screen If the screen you want to change is not the currently active screen, you must select the required screen (for example, Screen A, Screen B, Screen C, screen D or Screen E). Procedure 1. Press the hardkey and V26).
Page 78: Freezing Waves (Cms Only)
Freezing Waves (CMS only) Freezing Waves (CMS only) You can freeze any wave movement on the screen via the Change Screen other key except You can also freeze the waves on your 2nd and 3rd independent display. To restart the waves on an independent display, press Setting up your Monitor Freeze Waves keys.
Page 79: What You Can Configure
If necessary, these default settings can also be changed. This is done in a special configuration mode, either by your biomedical engineering department or the Philips service engineer. See the ““Changing Default Settings and Patient Category” on page 3-44 for more details.
Page 80: Changes To The Configuration
Changes to the Configuration Changes to the Configuration To make changes to the settings, you need to get into the Monitor Setup Selection Window. The key sequence to get into the Task Windows is shown above the screen figures in this guide. The softkeys are indicated in the text like this: Display The hardkeys are indicated in the text like this:...
Page 81: Making Changes To The Main Display
Making Changes to the Main Display The following describes how to change screen A, B, C, D, or E and assign a label. The description includes: • Assigning Waves to Screen Channels • Selecting a Screen • Selecting Screen Labels for Realtime Display Screens •...
Page 82: Assigning Waves To Screen Channels
Assigning Waves to Screen Channels Assigning Waves to Screen Channels You can assign realtime waves to positions on the screen. This defines where the waves appear on the Main Screen. Monitor Setup Notes— • You can also return to the Display Setup Task Window from the Realtime Speeds Task Window by pressing the softkey Display Setup.
Page 83: Procedure
Procedure 1. Press screen. 2. Press to place in your selected channel. 3. Repeat steps 1 and 2 for each wave position you want to change. 4. Press Note— If one of the assigned waves is not available (parameter switched off or unplugged), then another wave will use its channel until the assigned wave is reactivated, provided Wave Replace Mode is enabled.
Page 84: Selecting A Screen
Selecting a Screen Selecting a Screen You can switch between the five available screens (A-E) in the Display Setup Task window. Monitor Setup Procedure 1. Press screen. 2. Press screen choice and its screen label will appear at the top of the Task Window.
Page 85: Selecting Screen Labels For Realtime Display Screens
Selecting Screen Labels for Realtime Display Screens A screen label may be selected for a realtime display screen. There are eleven choices. Monitor Setup Procedure 1. Press screen. 2. Press choices are: f. Perfusn g. Surgeon Selecting Screen Labels for Realtime Display Screens Display1 Setup Select Item until “Screen Label”...
Page 86 Selecting Screen Labels for Realtime Display Screens h. Inductn i. Non Invasive j. OxyCRG3. k. Blank (No screen label). l. User Def (user defined screen label - see below) 3. Press Main Screen User Defined In addition to the pre-defined screen labels, you can define your own Screen Labels labels for each screen (A-E).
Page 87: Selecting The Number Of Waves
Selecting the Number of Waves You can select how many waves you want displayed on the screen (within the capabilities of the model you have ordered). Monitor Setup Procedure 1. Press screen. 2. Press depending on your model. 3. Press Main Screen Display1 Setup Select Item...
Page 88: Changing The Wave Overlap
Changing the Wave Overlap Changing the Wave Overlap The wave overlap refers to the position of particular waves on the screen. You can select to have overlapping and non-overlapping waves. Overlapping waves allow a larger wave amplitude and you can compare waveforms of various parameters (i.e.
Page 89: Selecting Realtime Wave Speeds
Selecting Realtime Wave Speeds The same speed can be selected for all the waveforms or different speeds can be chosen for different waveforms. You can select the speed for the waveforms from the following: 50 mm/sec 25 mm/sec 12.5 mm/sec 6.25 mm/sec Monitor Setup Procedure...
Page 90 Selecting Realtime Wave Speeds Press the softkey Window, press Main Screen To select the same speed for all the waveforms: 1. Press 2. Press the softkey Waves Task Window, press Selection window or Note— • The speed of the Resp or CO always be set individually.
Page 91: Numerics On/Off
Numerics To tailor the numeric display format to specific needs, individual On/Off numerics can be switched on or off. This is possible for each individual screen (A-E) of an independent display. When monitoring many parameters, switching off the numerics for some of the parameters results in more of the remaining numerics being displayed in large digits.
Page 92 Selecting Realtime Wave Speeds If numerics are switched off, the status message “Not all numerics displayed” is displayed. This message can be disabled in configuration mode by your biomedical engineer or by the Philips service engineer. Numeric Parameter numerics on the Main Screen screen are shown as aligned Positioning numerics - the numerics are next to the corresponding waveforms.
Page 93: Additional Information
Numeric Sizes: Parameter numerics on the screen are displayed in 2 sizes - big or small. When there are too many large numerics to be displayed on the Main Screen display, the monitor performs the following actions to make more space available: •...
Page 94: Selecting An Application Window
Selecting an Application Window Selecting an Application Window One of three application windows can be selected for display in each screen: • Split Screen • oxyCRG • They are described in more detail in the following sections. Monitor Setup Procedure 1.
Page 95 Note— If you have configured a second or third independent display, oxyCRG and CSA can only be on one of these displays at a time. Split Screen can be configured for all displays simultaneously. Special Implications for Touch or Mouse Operation •...
Page 96: Displaying Split Screen Trends
Displaying Split Screen Trends Displaying Split Screen Trends Split Screen trends display the last 30 minutes of the patient's trend data along with any alarm limits that are set. The trend values are updated every minute. The trend value itself is calculated as the average of all the values sampled with the previous minute.
Page 97 The alarm limits are represented by a rectangle, filled with the parameter’s color at low intensity. When a measurement exceeds an alarm limit, it is clearly visible against the screen’s black background. The limits themselves are displayed on the right side of the trend display, next to their corresponding boundaries.
Page 98 Displaying Split Screen Trends In addition to this, the trend to which the alarm limits apply is displayed with a thicker line than the other trends. Viewing Trend Because the NBP is not a continuously measured parameter, a special Data for Non- symbol is used to display the trend values, as shown in the diagram invasive Blood below.
Page 99: Oxycrg Display
oxyCRG Display The oxyCRG (oxygen CardioRespiroGram) display provides a simultaneous presentation of the following three waveforms overlayed on the Main Screen: • Beat-to-beat heart-rate trend • An oxygen parameter trend • Compressed respiration wave Approximately the last six minutes of information is displayed for each parameter.
Page 100: Notes On Oxycrg
oxyCRG Display Approximately the bottom two thirds of the Main Screen area are covered with the three oxyCRG waveforms. The number of realtime waves that you can display simultaneously with oxyCRG is related to the maximum number of realtime waves that your system is capable of displaying.
Page 101 oxyCRG Display is switched off, and one which happens after the power is restored. • If you are using a touchscreen, selecting the oxyCRG display either via touch or mouse-click will open up the Neonatal Event Review Task Window (or the Graph Trends Window, if Neonatal Event Review is not available).
Page 102: Csa Display (Cms Only)
CSA Display (CMS only) CSA Display (CMS only) The CSA (Compressed Spectral Array) is a format presenting the processed EEG. It compresses a large amount of data into a compact, easy to read trend and consists of 30 complete spectral lines. The bottom half of the Main Screen area is covered with the CSAs.
Page 103: Notes On Csa
Standard Display 4 realtime waves 6 realtime waves 8 realtime waves Notes on • The CSA information is overlayed on the realtime waves at the bottom of the Main Screen. These realtime waves disappear from the display, but the parameters are still being monitored, and the parameter alarms are still active.
Page 104: Wave Replace
Wave Replace Wave Replace Wave Replace enables the monitor to fill a currently unused channel, which is assigned to a specific wave, and replace it temporarily with another wave. Monitor Setup Procedure 1. Press screen. 2. Press Wave Replace enabled, assigned, but currently unused channels will be filled with another wave.
Page 105: Trace Mode
Trace Mode Trace Mode allows you to choose between fixed and moving traces: Monitor Setup Procedure 1. Press screen. 2. Press 3. Press Main Screen Note— Moving Trace is not recommended for flatscreen displays Display1 Setup Select Item until “Trace Mode” is selected on the Change Content to choose fixed or moving traces.
Page 106: Configuring A Second Independent Display (Cms Only)
Configuring a Second Independent Display (CMS only) Configuring a Second Independent Display (CMS only) The second independent display is normally configured as a true surgeon’s display. We suggest that “Surgeon” is the most appropriate key label. It does NOT contain any alarm indications (blinking messages or ) or alarm controls or outputs (alarm sounds or lamps).
Page 107: Other Functions You Can Configure
Other Functions You Can Configure Parameters On/Off Individual parameters can be switched ON or OFF on the monitor. No alarms or INOPs are reported for parameters that are switched off, and they are not available for display, trending, or recording on the monitor. Module Setup 1.
Page 108 Other Functions You Can Configure Press You can also switch OFF parameters in the following ways: • Any parameter: unplug the module, and suspend or silence the alarms. • Any parameter except ECG, RESP or NBP: disconnect the transducer or adapter cable from the module, and suspend or silence the alarms.
Page 109: Adjusting The Volume Control
Adjusting the Volume Control You can adjust the QRS and alarm volume independently. The QRS tone is the audible tone produced by the ECG pulse channels to indicate each QRS complex or pulse trigger event picked up. Procedure CMS: Monitor Setup Alarms/Volume 1.
Page 110 Adjusting the Volume Control 2. Press Main Screen Tone Modulation can also be set to On or Off in this window using Note— On/Off Tone Mod If the alarm tone volume is set to zero the warning Note— “ALARM VOL = 0” will appear in the lower right corner of the display. V24 and V26 Patient Monitor: If not already in the Main Screen, press Increase or decrease the QRS or alarm tone volume by pressing the...
Page 111: Adjusting The Date And Time
If your monitoring system is connected to a central station via a Philips monitoring network, the date and time on your monitor is automatically taken from the central station.
Page 112 Adjusting the Date and Time 3. Press Main Screen If you are using a touchscreen display, arrow buttons will appear Note— above and below the date and time fields. These can be selected to adjust the date and time instead of pressing the arrow keys. 3-38 Setting up your Monitor to return to the Selection Window or...
Page 113: Selecting Waves For Central Recorders
Selecting Waves for Central Recorders You can select two waves to be used for delayed alarm recordings at a Philips patient care system central recorder. The waves you select can also be displayed at the central station. With a single channel recorder you can record the primary wave, or with a dual channel recorder you can record the primary and secondary waves.
Page 114: Configuring Module, Bedside And Central Recordings
Configuring Module, Bedside and Central Recordings Configuring Module, Bedside and Central Recordings Recordings on a 4-channel bedside recorder are only possible Note— with the CMS. Recordng Setup recordings: 1. Delayed and Alarm Recordings on a module, bedside or central recorder. A maximum of four delayed waves can be recorded, depending on the type of recorder.
Page 115: Other Patients Controls
Other Patients Controls Other Patients Controls If your system is connected via the Philips monitoring network to other bedsides you can choose to send alarms, receive alarms and assign your bed to a care group. The procedures for setting up the networking system are described in Chapter 4 “Other Patients”.
Page 116: The Status Log Function
The Status Log Function The Status Log Function The softkey of accumulated error codes. 3-42 Setting up your Monitor Status Log is used by service engineers. It produces a list...
Page 117: The Monitor Revision Function
The Monitor Revision Function The Monitor Revision Function The softkey Monitor Revision is used by service engineers. It gives information about the current hardware and software revision of the monitor. Setting up your Monitor 3-43...
Page 118: Changing Default Settings And Patient Category
However, if after delivery of your system, you want to change any of the other parameters or universal settings, you will need to contact your Philips service engineer or your biomedical engineering department, as this procedure has to be done in a special Configuration Mode.
Page 119: Changing The Patient Category
Changing the Patient Category Changing the Patient Category The monitor processes patient signals in different ways (using different algorithms) depending on the patient category. The patient category within a Configuration Set can be changed during normal monitoring. Adult/Pedi/Neo Change PatCateg Monitor Setup In general, all the parameter settings and patient data management information are kept if you change the patient category without changing...
Page 120 Changing the Patient Category The following table details the differences between the patient categories for those parameters where differences occur: Parameter HR/PULSE RESP Inv. Pressure For example: The ECG parameter uses the neonatal algorithm if you choose either the Neonatal or Pediatric patient category. If you choose the Adult patient category, the ECG parameter uses the adult algorithm.
Page 121: Nbp
The patient's tolerance for the cuff pressure (i.e. stress) when an NBP measurement is made is an important factor to consider when choosing patient category. The amount of stress is determined by: • the size of the cuff, and • the duration of time the cuff pressure is applied.
Page 122 Changing the Patient Category These safety values effect the measurement range of each category. The Adult category has the greatest range (systolic 30 to 270 mmHg) and the Neonate has the smallest (systolic 30 to 130 mmHg). Therefore you cannot use Neonate or Pediatric if the expected pressure values are outside the measurement range for that category.
Page 123: Ecg
The following factors can cause the cardiotach to calculate an incorrect heart rate: • Morphology of the ECG, • Weak signal, • Paced patients. Morphology of Philips offers two different ECG algorithms to allow for differing the ECG morphologies. Changing the Patient Category Patient Category Adult Pedi 100s 100s...
Page 124 Changing the Patient Category Recommendation Choose the patient category according to the QRS morphology, rather than the patient's age. Use Adult if the duration of the QRS base is 50 to 70 ms: use Neonate/Pediatric if the duration is less than 50 ms. Weak signal The signal may be weak due to the patient's constitution, the electrode placement or other factors.
Page 125: Heart Rate (Hr) / Pulse
Heart Rate (HR) / Pulse Cardiotach Range HR Alarm Limit Range Pleth/Pressure Pulse Alarm Limit Range The expected range can be estimated by performing a manual pulse count. RESP Respirotach Range High Alarm Limit Range Low Alarm Limit Range In general, use the Adult or Pediatric category if rates below 50 rpm are expected;...
Page 126 Changing the Patient Category AWRR High Range AWRR Low Range Delay before alarm sounds The Apnea alarm delay time cannot be changed Note— 3-52 Setting up your Monitor Adult/Pedi 10 to 100 rpm 30 to 150 rpm 0 to 95 rpm 0 to 145 rpm 20 s 20 s...
Page 127: Changing The Configuration Set
Changing the Configuration Set If you want to change the application of your system, for example, from Configuration Set 1 adult to Configuration Set 3 neonatal, you can do this in monitoring mode by getting into the Monitor Setup setup. This procedure will not modify a Configuration Set, but will change completely from one Configuration Set to another.
Page 128: Procedure
Remove the plug-in modules from the rack before starting the procedure. • Ask your biomedical engineering department or Philips service engineer to set Parameter Settings Transfer to OFF. Procedure The current Configuration Set for the monitor is highlighted and the universal settings are displayed at the top of the Task Window.
Page 129: Changing Operating Modes
Changing Operating Modes This function will be mainly used by service engineers for configuring the system on installation or for servicing the system. Before you can operate in this Task Window you have to use a password. There are three levels of password: Level 1 password Level 2 password Level 3 password allows you to select any of the four operating...
Page 130: Returning To Monitoring Mode
Changing Operating Modes Monitor Setup Returning to To exit Config, Demo or Service Mode, press Monitoring Resume Monitor Mode having to enter a password. It is also possible to exit demo mode by powering down and restarting the monitor. 3-56 Setting up your Monitor Operatng Modes Monitor Setup...
Page 131: Procedure
Procedure 1. Enter the password by pressing the appropriate combination of softkeys which are numbered 1-5. If you enter the password correctly, you can proceed with the next step. If not, exit the Task Window by pressing again. 2. Press the softkey mode you require.
Page 132: The Test Signals Function
The Test Signals Function The Test Signals Function The Test Signals function allows a check of the way signals are processed from the parameter module to the screen. The aim of the function is to identify broken lines and cables in the signal processing areas.
Page 133: Procedure
Procedure 1. Press hardkey 2. Press softkey Selection Window. The monitor returns to Main Screen. Test waves for each parameter being monitored are generated for 30 seconds to test the processing abilities of the monitor. The message “Test Signals active - no monitoring” appears on the screen.
Page 134 The Test Signals Function System Self-Test Values: Module Test Numeric Limits ECG and ECG/ RESP 100 bpm in ADULT mode 125 bpm in NEO/PEDI mode RESP 15 rpm in ADULT mode 30 rpm in PEDI mode 55 rpm in NEO mode Pressure Systolic 120 mmHg ADULT...
Page 135: Parameter Settings Transfer
Parameter modules which are labeled on the front with a small “T” in the upper right hand corner can be transported from one rack to another (or from one Philips system to another) and still keep their parameter settings. There are a few modules that may or may not be marked with a “T”...
Page 136 Parameter Settings Transfer • by resetting all parameter settings to their default values when changing Configuration Sets or operating modes. You can find more information about Parameter Settings Transfer in each of the parameter chapters, in particular Chapter 20, “Pressure Module Section”, and Chapter 17, “Temperature Module Section”.
Page 137: Parameter Settings Transfer Messages
Parameter Settings Transfer Messages The following messages related to Parameter Settings Transfer can appear on the display: Message (Parameter name) no settings transfer capability (Parameter name) check settings'' Check Patient Category and (parameter name) settings (Parameter name) unable to store settings in module Parameter Settings Transfer Messages Condition...
Page 138 Parameter Settings Transfer Messages Message (Parameter name) reading settings from plug-in module'' (Pressure label) check zero and transducer level'' 3-64 Setting up your Monitor Condition Action required A parameter key has Wait for the message to been pressed while disappear before parameter settings are pressing the key for being taken from the...
Page 139: Other Patients
Overview......... 4-2 • Philips Patient Care System ......4-3 •...
Page 140: Overview
Overview Overview If you are connected to a Philips patient care system the Other Patients function allows you to put your bed into groups, send and receive alarms between beds in the groups and view data from other beds in your group.
Page 141: Philips Patient Care System
Philips Patient Care System The Philips Patient Care System is a network which transports information. If your system is connected to such a monitoring network you can send information to other systems or central stations, and receive information from them.
Page 142: Automatic Alarm Other Patients
Philips Patient Care System The frame around the softkey for a bed in alarm will blink until the alarm is silenced by that bed. If the alarms on a bed in your Other Patients Selection Window are suspended, the the respective softkey.
Page 143 Note— When an alarm has been acknowledged. the acknowledged bed no longer appears in your Other Bed Alarm stack. It is NOT removed from Philips Patient Care System become active. to view the next waveform for that patient. . This:...
Page 144 Philips Patient Care System the alarm stack viewed by other monitors in the Other Patients group. No arrow next to a bed number means: either there are no more new alarms or all the existing alarms have been acknowledged. Other Patients...
Page 145: Configuring The Other Patients Controls
Note— connection to the Philips monitoring network is interrupted (for example, if the Philips monitoring network cable at the back of the monitor is disconnected, or the central station is switched off) and the monitor comes back on a different branch.
Page 146: Using Philips Patient Care System With An Arrhythmia Computer
Philips’ arrhythmia systems via the Philips monitoring network interface (see below). If your monitor is connected via the Philips patient care system to an arrhythmia computer (78720A), or you have a central station with arrhythmia channels such as the 78560A or 2300, or you have a M3150A/ M3153A Philips Information Center, you are able to display a delayed arrhythmia wave.
Page 147 Using Philips Patient Care System with an Arrhythmia Computer If arrhythmia monitoring for your system is on, the heart-rate on your screen is that calculated by the arrhythmia computer. Alarm messages from the arrhythmia computer are also displayed. Within the ECG channel, arrhythmia information is displayed on the rhythm and abnormal beat status of the patient.
Page 148 Using Philips Patient Care System with an Arrhythmia Computer Arrhythmia Alarms on the 78560A and 78720 Arrhythmia Computers Alarm ASYSTOLE (***) VENT FIB/TACH (***)| HR BRADY XXX < BBB (***) Heart rate < lower HR limit set or 40 bpm...
Page 149 Using Philips Patient Care System with an Arrhythmia Computer Alarm R-on-T VPBs (**) VENT BIGEMINY (**) VENT TRIGEMINY (**) MULTIFORM VPBs (**) HR XXX >UUU (**) HR XXX < LLL(**) IRREGULAR (HR) (**) Minimum Condition Required for Alarm For HR < 100, a VPB with R-R interval <...
Page 150 Using Philips Patient Care System with an Arrhythmia Computer Arrhythmia Alarms on the 78560A Arrhythmia Computer Alarm RUN VPBs > X (**) PACER NON-FUNCT (**) VPBs > XX/min (**) Arrhythmia Alarms on the 78720 Arrhythmia Computer Alarm EXTREME TACHY RUN VPBs >9 (**)
Page 151 Using Philips Patient Care System with an Arrhythmia Computer Arrhythmia Alarms on the 3150A/3153A Arrhythmia Computer Message Minimum Condition Requiring an Alarm *** ASYSTOLE No QRS for 4 consecutive seconds *** V-FIB/TACH Fibrillatory wave for 4 consecutive seconds *** V-TACH Consecutive PVCs >/= V-Tach Run limit and...
Page 152 Using Philips Patient Care System with an Arrhythmia Computer Message ** R-ON-T PVCs ** VENT BIGEMINY ** VENT TRIGEMINY ** PVCs > xxx/MIN ** MULTIFORM PVCs ** HR yyy > xxx ** HR yyy < xxx ** IRREGULAR HR 4-14...
Page 153: Extended Overview (Cms Only)
M1272A Inter-Philips monitoring network gateway. Extended Overview enables you to review the status of patients on another Philips monitoring network - either in another care unit or in a care unit larger than 24 beds. The Extended Overview Task Window...
Page 154: To View An Extended Other Patients Bed
24 beds. 3. Select the bed, using The Extended Overview Task Window will be displayed. Note that only beds available on the other Philips monitoring network can be selected. 4-16 Other Patients Other Patients...
Page 155: Alert Notification
Alert Notification (if more than one bed is in Alert Notification Notification, A maximum of 4 beds can be viewed on each Philips monitoring network at one time. When the maximum use is exceeded, the message “CANNOT DISPLAY WAVES AND VITAL SIGNS, OTHER BED DISPLAY LIMIT EXCEEDED”...
Page 156 Extended Overview (CMS only) Note— If the gateway is configured to provide Alert Notification and the gateway is inoperational, the message “SDN comm error - inter-network gateway failed” will be displayed in the message area of the main screen display. The Alert Notification display is removed if pressed on the source bedside monitor or station.
Page 157: Alarm Functions
Alarm Functions This chapter provides general information on alarm functions and what to do if an alarm occurs. It includes the following sections: • Alarm Display........5-2 •...
Page 158: Alarm Display
Alarm Display Alarm Display The alarm messages are displayed across the top of the screen. When you switch the power on, the system alarm capability is switched off. This is indicated by an ALARMS SUSPENDED or ALARMS SUSPND 1, 2 or 3 MIN message at the top right corner of the screen, depending on the alarm suspended mode which is configured on the monitor.
Page 159: Suspending Alarms
Alarm Lamps Red and yellow alarm lamps on the control panel signify the severity of the cause of the alarm. One of these lamps is always lit in the event of an alarm sound. In the case of more than one alarm, the highest severity alarm lamp is always lit.
Page 160: Silencing And Resetting Alarms
We recommend that you configure latching alarms for your monitor for Intensive Care use. All monitors within a unit should have the same alarm configuration! Audible alarm indications broadcast over the Philips monitoring Note— network (SDN) are always treated like visual alarms on the central station or remote systems (even if the bedside monitor is configured differently).
Page 161 • Latching Alarms - The alarm continues when the alarm condition is eliminated. Latching alarms can be reset by pressing the key. Alternatively, all latching alarms can be turned Silence/Reset Suspend Alarms off using the Latching alarms for individual parameters can be turned off in the Adjust Alarms Task Window or the Alarm Limits Task Window.
Page 162 The central stations 78504A and 78508A can silence and reset the alarms of the bedside monitor only if configured to do so by a Philips service engineer or hospital biomedical engineer. This is then permanent and cannot be altered by the user.
Page 163 Summary of Alarm Behavior Alarm is given Audible alarm Silence/Reset has NOT been pressed Alarm situation no longer present Alarm Silence/Reset has been situation still pressed present Alarm situation no longer present Non-latching Latching alarms alarms Audible alarm Alarm lamp Alarm lamp Alarm message, Alarm message,...
Page 164: Alarm Priorities
Alarm Display Alarm • Red alarms - Highest priority alarms, displayed in the top right Priorities corner of the display screen. These are marked with three asterisks (***) next to the alarm message, for example, ***ASYSTOLE. • Yellow alarms - displayed in the top center of the display screen. There are two types of yellow alarms;...
Page 165 Viewing Alarm Messages The monitor alarms are arranged in increasing severity across the screen: 1. Press Alarms/Volume Alarm Messages 2. Press When an alarm occurs, you should always check the patient's Note— condition first. Audible Alarms There are four different tones (3 alarm tones and one INOP tone): •...
Page 166: Individual Parameter Alarms
Alarm Display Individual When you plug in a parameter module and connect the transducer or Parameter adapter cable, the parameter is automatically switched on (ECG, RESP Alarms and NBP are automatically switched on when you plug in the relevant module). Whether the parameter alarms are switched on or off at start-up can be selected for each parameter separately in the Configuration Mode.
Page 167: When An Alarm Occurs
When an The alarm messages appear across the top of the screen. You need to Alarm identify the alarm and act appropriately, according to the cause of the Occurs alarm. • Identify which monitor is in alarm. • Check the patient's condition. •...
Page 168: Alarm Setup
Alarm Setup Alarm Setup In the Alarm Limits Task Window you are able to review all of the alarm limits that have been set for a patient. In this Task Window you are able to turn off individual parameter alarms and adjust the limits. This means that if you just want to adjust an alarm limit you do not have to get into the individual parameter setups.
Page 169: Changing The Alarm Limits
Changing Alarms/Volume the Alarm Limits 1. Press adjust. 2. Use the on or off. When the alarms are turned off, a parameter alarm limits. 3. Use adjust the limits. 4. If there are more than 10 alarm bars to review, press the Next Page screen.
Page 170: Setting The Volume Control
Alarm Setup Setting the The QRS and the alarm tone volume can be set independently. Volume 1. Press Control 2. Press The QRS and alarm tone are each represented by the outline of a triangle which can be filled in. When the triangle is completely filled, this represents maximum tone volume.
Page 171: The Nurse Call Relay
The Nurse The nurse call relay is not available for the V24CT and V26CT. Note— Call Relay The nurse call relay is a paging system which warns the nurse if an alarm occurs on a monitor. It becomes active in one of four situations depending on the way it has been configured: •...
Page 172 Alarm Setup 5-16 Alarm Functions...
Page 173: Recording Functions
Recording Functions This chapter contains information on the recordings that can be made using the patient monitors, and the recorders which can produce them. It includes the following sections: • General Recorder Information ..... . 6-2 •...
Page 174: General Recorder Information
Plug-In 4-Channel Bedside 2-Channel Bedside a. Only the M1116B can be used with the Philips Information Center The Plug-In recorder has 2 channels, and can also be used at a central location. The 4-channel thermal recorder can also be used at a central location.
Page 175: Controls And Indicators On The Plug-In Recorder
Controls Indicators on the Plug- In Recorder a. Continue light b. RUN/CONT key c. STOP key M1116B RUN/ CONT STOP Flashes if the currently printing recording is continuous Starts a timed delayed recording and/or makes a currently printing recording continuous (if possible) Stops the currently printing recording General Recorder Information Recording Functions 6-3...
Page 176: Controls And Indicators On The 4-Channel Recorder (Cms Only)
General Recorder Information Controls Indicators on the 4- Channel Recorder (CMS only) a. Power On/Off key b. Out-of-paper light c. TEST key d. Speed selection lights e. Speed selection keys f. Feed key g. Continue light Recording Functions Switches recorder power on (in) and off (out) Lights when paper is out or recorder door is open...
Page 177: Recorder Capabilities
h. Cont key i. Stop key Recorder Capabilities Plug-In Can record up to 3 waveforms (if 2 waveforms are overlapped). Recorder • Makes delayed recordings of any waveforms you select. (M1116A/B) • Makes realtime vital signs recordings. • Makes realtime blood measurement recordings •...
Page 178 Central • Makes delayed recordings of waveforms broadcast over the Recorder (1, 2 Philips patient care system. (These are waveforms viewed at the or 4 channel central station and other monitors in overview mode.) recorder) Single channel recorder records only the primary wave. If ECG...
Page 179: Types Of Recordings
Types of Recordings The monitor produces several different types of recordings. Alarm recordings are generated automatically by the monitor when clinical criteria are violated. In addition, you can make the following types of strip chart recordings from the monitor: • Delayed •...
Page 180: Delayed Recording
Delayed Recording Delayed Recording Definitions Delayed Recordings - recordings of waveforms that are delayed in time, so that if you see a waveform you want to record, you can record it even if it has passed off the monitor screen. A delayed recording runs for a preset time and begins with delayed waveform from before the recording was initiated.
Page 181: Configuring Delayed Recordings
Configuring Delayed Recordings For Plug-In Monitor Setup and 4-Channel Bedside Recorders 1. Select the recorder and layout: a. Press b. Press c. Press 2. Select wave for each channel a. Press b. Press 3. Press or oxyCRG) that will be generated by alarms. Recordng Setup On/Off Change Recorder...
Page 182 Delayed Recording For Central Monitor Setup Recorders 1. Select the central recorder in the Delayed/Alarm Recording Task Window (see steps 1-3 for Plug-In and 4-Channel Bedside Recorders above). 2. Select the waves in the System Waves Task Window a. Press b.
Page 183: Making Delayed Recordings
Making To initiate a delayed recording on any recorder, press Delayed Record. Delayed On the Plug-In recorder only, press RUN/CONT. Recordings Delayed recordings can also be initiated from the Preset Recordings Task Window. Here, the waves pre-selected for a delayed recording are identified above the Delayed softkey label.
Page 184: Alarm Recording
Alarm Recording Alarm Recording Alarm recordings are a type of delayed recording, that is, the recording includes waveform information from before the alarm event so you can see the change in the patient's condition. When a patient goes into an alarm condition, an alarm recording is generated automatically according to the monitor's configuration.
Page 185: Configuring Alarm Recordings
Configuring Monitor Setup Alarm Recordings 1. Press 2. Press Yellow, Off). 3. Press conditions. 4. Press If delayed/alarm recordings are being sent to the central recorder, Note— the ECG alarm recording setting is displayed in the Alarm Recording On/ Off Task Window as RED/YELLOW. This setting cannot be changed unless you choose a bedside recorder (either a Plug-In or 4-channel bedside).
Page 186: Alarm Recording Priorities
Alarm Recording Alarm In a delayed recording, waves are recorded in the order assigned in the Recording Delayed/Alarm Recording Task Window, and the number of waves Priorities recorded is determined by the recorder configured for delayed recordings. In alarm recordings, the alarming parameters replace the waves in the lower channels.
Page 187 Channel 4 Respiration A yellow CO alarm would produce a recording ordered as: Channel 1 Channel 2 Pressure 1 Channel 3 Pressure 2 Channel 4 If a red P3 alarm occurred, the recording order would then become: Channel 1 Channel 2 Pressure 1 P3 alarm Channel 3...
Page 188: Procedure Recordings
Procedure Recordings Procedure Recordings Recordings can be made during cardiac output measurements. Configuring You first select the recorder which will record the curve. Procedure Recordings Monitor Setup 1. Press the recording. 2. Press Note— To generate trended vital signs and neonatal event recordings, the recorder selection must be set to “PLUG-IN”...
Page 189: Making Procedure Recordings
Making Procedures Procedure Recordings See Cardiac Output Section for details on cardiac output measurements. When a cardiac output measurement has been made, the curve in the Measure C.O. Task Window can be recorded by pressing Record Curve The recording strip shows the curve and is annotated with the date, time, cardiac output value, computation constant, blood and injectate temperatures.
Page 190: St Recordings
ST values transferred by the Philips M1235A Data Transfer Module are indicated by a “T” after the time. Because the ST waveforms are not transferred, no waveforms will be recorded.
Page 191: Recording Functions
(91MIA) 25 mm/sec ST 1mV 01 DEC 93 8:35 Ref 01 DEC 8:30 /01 DEC 8:35/Change ST1 II -0.2 /II 2.1 /+2.3 ST2 aVR 0.0 /aVR -1.0 /-1.0 ST3 V 0.0 /V -0.5 /-0.5 Iso = -72 ms. ST Pt = 100 ms (Ref) Iso -72 ms.
Page 192: Realtime Wave Recordings
Realtime Wave Recordings Realtime Wave Recordings Definitions Realtime Recordings - recordings of waveforms from the time of your request. There are two types of realtime recordings: Preset Recordings Non-Preset Recordings Realtime Recording Mode - a pre-selected set of waveforms will be recorded when one of the pre-configured recording keys is pressed.
Page 193: Configuring Preset Recording Modes
Configuring Monitor Setup Preset Recording Modes 1. Select the recorder and layout. a. Press b. Press c. Press 2. Select wave for each channel. a. Press b. Press 3. Press configured. Modes B and C are configured in the same way. Recordng Setup Change Recorder to select the recorder that will...
Page 194: Making Preset Recordings
Realtime Wave Recordings Making Realtime Record Preset Mode B Recordings Making Non- Realtime Record Preset Recordings Select the wave(s) to be recorded. Selected waves are identified in the window after the recorder name in the order they were selected. Each wave that is selected is also identified below the key label.
Page 195: Making Calibrated Ecg Recordings
Note— (CMS only): The number of recording channels available depends on the recorder. If you change from a 4- to a 2-channel recorder, only the first two waves are recorded. Note— Non-preset recordings are made on the same recorder as procedure recordings (selected in the Procedure Recordings Task Window).
Page 196 Window, as the recorder will not function. It will give the prompt “Central recorder not available”. • For the Monitor connected to the a Philips central station, realtime recordings must have at least one non-blank channel to generate a recording on the central recorder.
Page 197: Realtime Vital Signs / Blood Recordings
Realtime Vital Signs / Blood Recordings Definitions 1. Realtime Recordings - recordings of vital signs / blood analysis from the time of your request. 2. Automatic Recordings - automatic recordings of vital signs / blood analysis by an NBP measurement or by a blood analysis measurement.
Page 198 Realtime Vital Signs / Blood Recordings Depending on the number of parameters being monitored, a vital signs / blood recording may take up to 15 seconds to complete. The recording speed is set by the system, and cannot be adjusted. Note—...
Page 199: Making A Single Vital Signs/Blood Recording
Making a If your monitor is configured to have a Single Vital Preset Recordings Task Window, you can initiate a single vital signs or Signs/Blood blood recording. Recording Making An automatic sequence of vital signs / blood recordings can be enabled or Timed disabled in monitoring mode in the Vital Signs/Blood Recording Task Sequences...
Page 200 Realtime Vital Signs / Blood Recordings If you are configured for vital signs / blood recordings and you are in Mode B, selecting the Vital Signs / Blood Recording key produces a recording consistent with NBP configuration. 6-28 Recording Functions...
Page 201: Trended Vital Signs Recordings
Monitor Setup selection window. 1. Recording code 2. Date and Time 3. Patient’s name 4. Recording title 5. Bed label (if connected to the Philips monitoring network). Trended Vital Signs Recordings strip2.tif Recording Functions 6-29...
Page 202: Trend Data
Trended Vital Signs Recordings Trend Data Depending upon the number of trended parameters, the header page is followed by one or more pages of trend data. A trend data recording may take from 15 seconds to 50 seconds to complete. The recording speed is set by the system and cannot be adjusted.
Page 203 Time line. Data that has been transferred. 8. Date. Time setting has been altered during time period Parameter labels. Systolic Trended Vital Signs Recordings Diastolic. Mean. Time of measurement. 10. Questionable value. 11. More than one value is available in the time period. 12.
Page 204: Making Trended Vital Signs Recordings
Trended Vital Signs Recordings Making Trends / Calcs Trended The trended data displayed in the Vital Signs task window can be Vital Signs recorded by selecting the Recordings To stop trended vital signs recordings: The recording can be stopped at any time by selecting: Stop Recordng •...
Page 205: Neonatal Event Review Recordings
Neonatal Event Review Recordings Tabular You can record the contents of the Event Review task window in a Neonatal tabular format on an M1116A/B plug-in recorder. The recorder selection Event must be set to “PLUG-IN” (the default) in the Procedure Recordings task Recordings window before neonatal events can be recorded.
Page 206: Oxycrg Episode Recordings For Neonatal Events
Neonatal Event Review Recordings Depending upon the number of events stored, a neonatal event recording may take from 15 seconds to 40 seconds to complete. The recording speed is set by the system and cannot be adjusted Making a Tabular Neonatal Event Recording Alarms/Volume The data displayed in the Event Review task window can be recorded in a tabular format by selecting the...
Page 207 Neonatal Event Review Recordings OxyCRG Episode Data The oxyCRG episode is recorded with the same labels, recorder grid and scale labels as those which appear on a standard oxyCRG recording. The oxyCRG episode depicts 2 minutes prior and 2 minutes past the captured event (alternatively 1 minute / 3 minutes configurable).
Page 208: Oxycrg Recordings
oxyCRG Recordings oxyCRG Recordings You can record the contents of the oxyCRG display on an M1116B Plug- In recorder. oxyCRG recordings can only be made on the M1116B Plug-In Note— recorder. The M1116A Plug-In recorder, the M1117A four channel recorder, and the central recorder do not support oxyCRG recording. You can manually request an oxyCRG recording, and you can configure an alarm recording of oxyCRG.
Page 209 The oxyCRG is shown in three distinct non-overlapping “channels” on the strip. The time, the three wave labels, and the scales for the oxygen and beat-to-beat Heart Rate channels are printed periodically on the recording. Three speeds are available for oxyCRG recording: 1, 2, or 3 cm/min. You can choose the speed in the oxyCRG Task Window Date/time recording was initiated...
Page 210: Oxycrg Alarm Recording
oxyCRG Recordings oxyCRG Monitor Setup Alarm Recording Pressing the between “Standard” alarm recording or “oxyCRG” alarm recording. If you select “oxyCRG”, an oxyCRG recording is started when an alarm occurs. Six minutes of pre-alarm data and two minutes of post-alarm data are recorded.
Page 211: Additional Information
Additional Information Annotations Delayed and realtime recordings are annotated with codes which identify: 1. The type of recording 2. The monitor operating mode 3. The application area 4. The type of patient 5. The delay time The following table shows the annotation codes. Recording Type Operating Mode Application Area I...
Page 212 Scale lines and labels • Bed label and patient name (if the monitor is attached to the Philips patient care system, or if the patient data management option has been purchased). For recordings made at speeds lower than 6.25 mm/s, the time is Note—...
Page 213 CAL @@@ DEG C BY 5 SEC where @@@ is the signal value as follows: Cal Pulse 0.25 0.50 1.00 25 mm/sec (90DIA) HARVEY SMITH ABP Scale (0/40.0/80.0/120) BED 18 09 AUG 91 18:04 ALARMS SUSPENDED CHECK STATUS LOG PULSE 60 HR 80 ETCO2 40 IMCO2 0...
Page 214: Changing The Recording Length
Additional Information Changing Delayed and realtime recordings can be extended or continued. Extending a timed recording resets the runtime. You can extend a Recording recording as many times as needed. Length In the example below, the recording with a runtime of 12 seconds is extended after it has been running 6 seconds.
Page 215: Changing The Recorder Speed
Changing The recording speed can be changed for delayed, realtime, and oxyCRG recordings made on a bedside recorder. Changes made in the Change Recorder Recording Speed window affect only the last requested and running Speed recording. Note— If more than one bedside recording is running, the Change Recording Speed window affects only the last requested and running recording.
Page 216: Inserting A Calibration Signal
Additional Information Inserting a You can insert a calibration signal into the waveform display on the Calibration monitor and into any actively running recording. Calibration signals are Signal automatically generated for calibrated waves. The signals can then be used to determine the amplification of the waveform. To insert the signal, press press the recording is being run, the signal appears on the display and is inserted...
Page 217 Layout Choices on Recorder M1117A Layout Sector 1 25 mm Wave1 25 mm Wave 1 25 mm Wave 1 50 mm Wave 1 Additional Information Sector 2 Sector 3 Sector 4 25 mm 25 mm 25 mm Wave 2 Wave 3 Wave 4 75 mm Wave 2-4...
Page 218: Recording Status Messages
Recording Status Messages Recording Status Messages When a recording is running, you get a message in the top center of the monitor display, telling you which parameters are being recorded. In addition, the following messages provide information on the status of your recording request.
Page 219 Message Meaning Wrong Procedure A trended vital signs recording or neonatal Recorder Configuration event recording has been requested but not supported by the selected procedure recorder. Check Paper/Door on The bedside recorder is out of paper or the Recorder Name recorder door is open - load new paper and/ Recorder| or shut the door.
Page 220: Accessories And Ordering Information
Accessories and Ordering Information Accessories and Ordering Information You can order parts and accessories from Philips supplies at www.medical.philips.com or consult your local Philips representative for details. Warning Reuse: Never reuse disposable transducers, sensors, accessories and so forth that are intended for single use, or single patient use only.
Page 221: Loading Paper
Before starting, pull the paper storage door open and remove the Plug-In the remaining paper core. Recorder Caution For superior performance and top quality recordings, it is strongly recommended that you use Philips paper (Philips order part number 40477A or 40477B). Loading Paper Recording Functions 6-49...
Page 222: To Replace Paper In The Plug-In Recorder
Loading Paper To Replace Paper in the Plug-In Recorder 1. Insert new roll with paper feeding from the TOP. Pull paper out until it clicks into place. 3. Feed paper UNDER roller, using left edge of paper as a guide. To test if paper is loaded correctly, initiate a recording.
Page 223 If the Paper is If you have loaded the paper backwards, to remove the roll, do the Loaded following: Backwards 1. Tear off paper, then open recorder door. 2. Pinch paper at shelf below roller, and pull paper off of roller (see illustration below).
Page 224: Cleaning The Print Head In The Plug-In Recorder
Loading Paper Cleaning the If very slow speed (1 or 2 cm/min) recordings are run for extended Print head in periods of time, deposits of paper debris may collect on the print head. the Plug-In Symptoms of this are recordings that are unevenly fainter in horizontal Recorder stripes.
Page 225 To avoid damage to the instrument: (CMS only) -- Make sure hands are clean before loading paper -- Use only the approved paper (Philips order part number 40469A). Step 1 Open the door by placing fingertips in the recessed groove and pulling forward.
Page 226 Loading Paper Step 2 Unfold the first one or two sheets. Then, place the paper pack in the compartment with the black squares on the left-hand side, facing up, as shown. No more than one sheet should be left hanging outside of the unit. Note—...
Page 227: Cleaning The Roller On The Four Channel (M1117A) Recorder
Step 3 Note— Cleaning the If the paper doesn’t move through the roller properly, a possible cause is Roller on that the roller needs to be cleaned. (Be sure your hands are clean before the Four touching the roller). Channel (M1117A) Recorder Equipment...
Page 228 Loading Paper 6-56 Recording Functions...
Page 229: Admit/Discharge/End Case
These functions are accessible under the key. Discharge and End Case are not operational Procedures during a transfer to or from the Philips M1235A Data Transfer module; the Admit function is not accessible during a transfer to the monitor.
Page 230: Admitting A Patient
Admitting a Patient Admitting a Patient The patient monitors provide you with a display of demographic information on your patient. Patient name and medical record number will appear if the monitor is connected to a central station (the patient must be admitted at the central station) or patient demographic information transferred with the Data Transfer module (M1235A).
Page 231 Admission Information (ICU mode) Required or Items Optional Patient Name Recommended Medical Record No. Recommended Date of Admission Optional Height Required for calculations Weight Required for calculations Optional Date of Birth Optional Admitting Physician Optional Attending Physician Optional Other (Comments) Optional Mother's Name Optional...
Page 232 Admitting a Patient Admission Information (OR Mode) Items Patient Name Medical Record No. Date of Procedure Height Weight Date of Birth Anesthetist Physician Surgeon Diagnosis Procedure Type ASA Category Other Patient name will appear on the Main Screen. Name and medical record number will appear on recordings and reports.
Page 233: Changing Patient Information
name and medical record number at the bedside monitor (you can only change these at the central station). For the patient's name to appear on the display, recordings, and reports, the patient must be admitted to the monitor. Before you admit a new patient, existing data - demographic and monitored - from the current patient must be cleared from the monitor in order to avoid combining information from two patients in one record.
Page 234 Admitting a Patient left and right cursor key up and down cursor key (on touchscreens only) Admit/Discharge/End Case Moves the cursor up and down Select Line Refernce erases the input of a whole line Clear Line Refernce toggle key to switch between Numeric and ABC/123 Refernce Alphabetical input.
Page 235 Admitting a Patient ICU Mode (Adult/Pediatric) ICU Mode (Neonatal) Admit/Discharge/End Case 7-7...
Page 236 Admitting a Patient OR Mode Admit/Discharge/End Case...
Page 237: Discharging A Patient/Ending A Case
To do this manually press --> Change ConfSet Refernce Confirm If the monitor is connected to a Philips Documentation Center and arrhythmia is assigned, arrhythmia must be unassigned under Arrhyth Functns Refernce station, discharge must be performed at central as well. The discharge procedure is not complete until the patient's information is erased from all parts of the system and the system is available for a new patient.
Page 238 Admitting a Patient endcase.tif 7-10 Admit/Discharge/End Case...
Page 239: Trends And Calculations
Trends and Calculations This chapter gives you information on the patient data trends and calculations of the patient monitors. It includes the following sections: • Introduction to Trends & Calculations....8-2 •...
Page 240: Introduction To Trends & Calculations
Introduction to Trends & Calculations Introduction to Trends & Calculations The patient monitors provide you with several tools to manage and present patient data. These tools are available in the Trends or Trends/ Calcs displays. You can: • View patient vital signs in graphs or tables. •...
Page 241: Viewing Patient Data
Viewing Patient Data There are two ways to view patient data: In graphs In tables In either form, the most recent data is displayed at the right of the screen (unless entered through the Graph Trends where you may have moved the time bar).
Page 242 Viewing Patient Data Extended Database (CMS only) No. of Parameters If data is stored every minute, the values displayed are the stored averaged values of samples taken every 12 seconds for a one-minute interval (5 samples per minute). If data is stored every 12 seconds, the values displayed are the exact values taken at one of the 12-second intervals.
Page 243: Trending Priority
Vital Signs and Graph Trends are not functional during a transfer of data from the Philips M1235A Data Transfer Module to the monitor. Trending Trending priority enables you to specify which parameters will be Priority trended. This is done by assigning a “must” status to parameters in the Trending Priority Task Window.
Page 244 Viewing Patient Data You can access the Blood Review task window by selecting Blood Review Blood Review On CMS, the Blood Review task window allows you to view blood results up to 48 hours old or a maximum of 96 data points for each blood parameter.
Page 245 Qualifying indicators (which have specific meaning) appear in the Blood Review task window. The following list identifies and defines all indicators used to qualify blood analysis results in the Blood Review task window. • A “T” next to the time indicates that the data was transferred to the monitor using the Data Transfer module.
Page 246 Viewing Patient Data The table below describes how reference ranges appear on monochrome and color displays. Status Monochrome Display Inside Range Full intensity Outside Range Inverse full-intensity Cross- When the Connection to Window, the Vital Signs Task Window opens up and the column closest Vital Signs in time to the column selected in the Blood Review Task Window is selected.
Page 247: Viewing Vital Signs
Viewing Patient data can be shown in a table three minutes after monitoring Vital Signs begins. The table appears in the default data time interval (1-min., 5-min., 15-min., 1-hr., 2-hrs., or 3-hrs.) with the most recent data at the right of the screen.
Page 248 Viewing Patient Data For example, when you press at one-minute resolution, the total time the graphs spans is 1 hour. Conversely, when you go directly from Graph Trends with a 2-hour span to the Vital Signs display, the intervals are 15-minute. If configured for the OR environment, the data is stored every 12 Note—...
Page 249 A “T” beside a time indicates that data for that time includes values transferred to the monitor from a Philips M1235A Data Transfer Module. With specific configurations, data loss can occur when transferring Note—...
Page 250: Selecting Parameters For Graph Trends
Viewing Patient Data “Recording Functions” section (chapter 6) of this manual for further information. Selecting You can select up to 9 parameters to be displayed in the Graph Trends Parameters Task Window by using the for Graph are placed into the graph channels according to the following rules: Trends •...
Page 251: Viewing Graph Trends
Viewing Patient data can be shown in a graph three minutes after monitoring Graph begins. The graph appears in the default time period with the most recent Trends data at the right of the screen. The times appear along the X-axis (horizontal) in 24-hour format (for example, 18:00 means 6:00 p.m.).
Page 252 A “T” on the time line denotes that some or all data has been transferred to the monitor from a Philips M1235A Data Transfer Module. The Events line below the graphs is for events marked manually (A, B, C, D) and automatically (ST).
Page 253 Viewing Patient Data If you change a value in Hemodynamics Calculations, (for example, you change ABP from 120 to 140), the new value will be identified in Patient Data graphs by a star (*). Note— (CMS only) For the 9-hour database, the default time period is 9 hours, with 4.5 hours of information displayed at any one time.
Page 254 Viewing Patient Data Marking The Mark Event function enables you to mark events and then review Events them in Graph Trends. Events are labelled A, B, C, or D. You decide for your unit what each letter means (for example, A = drug administration, B = out of bed, C = suctioning, etc.).
Page 255 ECG and RESP waves.) Since these calibration pulses momentarily become the waveform signal, they are also communicated over the Philips monitoring network (SDN) and appear on system displays and recorders. The RS232 and analog output interfaces also carry these pulses.
Page 256 Viewing Patient Data Procedure to Insert a Calibration Pulse Trends/Calcs When you press pulse appears in the displayed waves. The event label softkeys and the Cal Signals Cal Signals screen, parameter numeric values are not collected and alarms are not active.
Page 257 The calibration pulse varies according to the wave type: 1 mV square wave 1 ohm M-shaped wave All Pressures Stepped wave with 30, 60, 120, and 180 mmHg increments For pressure scales of 240 and 180, all four steps are displayed. At lower ranges, however, not all the steps are displayed since one or more steps exceeds the full scale range.
Page 258: Performing And Reviewing Calculations
Performing and Reviewing Calculations Performing and Reviewing Calculations There are two calculation functions available: Perform calculations where parameter values can be entered Review calculations The three calculation groups available are Hemodynamics, Ventilation, and Oxygenation. Examples of values which can be calculated are given below.
Page 259: Performing Calculations
Performing Calculations can be performed using automatically-entered values or Calculations manually-entered values. If a parameter is being continuously monitored, its value is automatically entered. Values which are not monitored must be entered manually. You can also change any of these values if needed. In hemodynamic calculations, if the systolic and diastolic pressures are manually entered via the cursor keys or the handheld keypad, the mean pressure is calculated, marked with an asterisk, and stored automatically.
Page 260 Performing and Reviewing Calculations Calculation Task Window Calculation Task Window for Touch Screen 8-22 Trends and Calculations...
Page 261 Dubois for adults and keep Boyd for neonates], the appropriate selection must be made in the Patient Data Configuration Task Window. See your Philips Service Engineer or biomedical engineering department for assistance in making a change. Performing and Reviewing Calculations...
Page 262 Performing and Reviewing Calculations Resampling Resampling of vital signs enables you to override the values in the Vital SIgns Trends database, which are stored every 12 seconds or averaged over 1 minute, depending on the monitor’s configuration. Resampling enables you to use the most recent continuously monitored values. Resampling sets the calculation time to the current time, and displays the corresponding values for the previous second in the calculations task window.
Page 263: Changing Or Entering An Input Value
Changing or The arrow keys are used to select a parameter and the keypad is used to Entering an enter or change the selected value. With a touchscreen, you can select a Input Value parameter by selecting the touch button in front of the parameter label. A numeric touchboard will be included in the task window to enter or change values.
Page 264: Printing Reports
Printing Reports Printing Reports You can print reports manually through task windows or automatically through pre-scheduled printing. Through Task Windows You can print a report of the data shown in Through Scheduled Reports Printing In the Graph Trends, Blood Review, Vital Signs, Calculations, and Task Calculation Review Task Windows you can print a report of the Window...
Page 265 Printing Reports To turn the scheduled report capability on or off, press SchedRep On/Off in the Patient Data Selection Window. This brings you to the Scheduled Reports On/Off Task Window. The current setting (On or Off) is indicated, and a softkey is highlighted (for example, if scheduled reports are off, the SchedRep On key is highlighted).
Page 266 Printing Reports 8-28 Trends and Calculations DAVID SCHULTZ : CCU 7 Adm Phys : M.M¤LLER MR # : 012-34-56789 DOB : 22 FEB 1945 Att Phys : R.SCHWARTZ MEMORIAL MEDICAL CENTER, BOSTON, MA Graphs Report 28 Jan 01:00 02:00 03:00 04:00 05:00 06:00 07:00 08:00 ABP S ABP M ABP D...
Page 267 DAVID SCHULTZ MR# : 012-34-56789 Adm Phys : M.MULLER DOB : 22 FEB 1945 Att Phys : R.SCHWARTZ MEMORIAL MEDICAL CENTER, BOSTON, MA Table Report 27 JAN 10:00 11:00 ABP S ABP D ABP M PAP S PAP D PAP M 37.8 37.5 C.O.
Page 268: What To Do If Your Report Does Not Print
If you are using a printer at the central station, be sure the central station is operating. If these do not correct the problem, call your Philips service representative. MESSAGE: Report On Printer Has Been Canceled Meaning: someone has pressed the Cancel Report.
Page 269 MESSAGE: Report Request Accepted The report has been accepted for printing. Meaning: What Do You Need to Do: MESSAGE: Too Many Reports In Line - Please Wait The printer has reports waiting to print and cannot accept Meaning: another report request. What Do You Need to Do: printer.
Page 270: Drug Calculator
Drug Calculator Drug Calculator The drug calculator provides drug infusion information at the bedside for up to 24 drugs. Using the calculator, you can determine infusion rate, dose, amount, or volume, and display or print a titration table for each drug.
Page 271 Drug Calculator Perform Calc By pressing , you will enter the Drug Calculation task On/Off window for the selected drug. In this window, the input values and units configured for the selected drug are listed on the left. The unknown value and the concentration are shown on the right.
Page 272 Drug Calculator Caution If you use the Drug Calculator for any patient other than the one currently being monitored, the current patient's history will be altered when another patient's weight is stored. 8-34 Trends and Calculations...
Page 273 Drug Calculator The Titration Table task window notes the relationship between dose and rate as configured during system installation. This table can be printed directly from the Titration Table task window, or from the Drug Calculation task window. When a patient is discharged, any modifications made to the inputs or in the unknown value for the discharged patient will be discarded, and the configured defaults will be re-initialized for the next patient.
Page 274 Drug Calculator 8-36 Trends and Calculations...
Page 275: Neonatal Event Review
Neonatal Event Review This chapter contains information on how to view and interpret Neonatal Events and oxyCRG Episodes for an individual Event. • Introduction to Neonatal Event Review....9-2 •...
Page 276: Neonatal Event Review
Introduction to Neonatal Event Review Introduction to Neonatal Event Review The Neonatal Event Review application enables the patient monitors to automatically detect, store, display and document up to 48* neonatal events over a period of 24 hours. The neonatal events detected by the monitors are: •...
Page 277: Viewing Neonatal Events
Viewing Neonatal Events Once an event has been captured and stored by the monitor, it is displayed in the Event Review task window. You can access the Event Review task window by selecting: • Alarms/Volume • Event Review The information displayed in the Event Review task window is presented in a graph format and is divided up into the following four channels: 1.
Page 278: Manual Event Storage
Viewing Neonatal Events 4. The Manual Event Channel The graph provides an overview of the total number of events and how they were distributed over the last 24 hours. Manual If you would like to capture an event manually, press Event followed by Storage...
Page 279: Graphical Details
Graphical The following information is displayed on the graph in the Event Review Details task window 1. Event bars. 2. Event threshold lines. 3. Event time. 4. Event numerics. 5. Event summary line. Event Bar A neonatal event is indicated by one or more vertical bars which are displayed across one or more graph channels.
Page 280 Viewing Neonatal Events The severity of an event is indicated by the length of the event bar; the longer the event bar, the more severe the event. The Bradycardia and Desaturation event bars start at the top of their channels and extend downwards. The Apnea event bars start at the bottom of the Apnea channel and extends upwards.
Page 281 2. At what value it has been set. 3. Whether it has been changed during the 24-hour review period. When the patient monitor is connected to the Philips Information Note— Center, the Bradycardia threshold line is displayed as a shaded area.
Page 282 Viewing Neonatal Events Event Time The time at which the event was captured is stored with each event. To display the event time, move the cursor onto the event you wish to view. The event time is displayed immediately in the top right hand corner of the task window.
Page 283 Viewing Neonatal Events Event When the cursor is moved onto an event bar, specific numerical data for Numerics that event is displayed in the three boxes on the right hand side of the task window. The background of one of the three boxes is always highlighted. This indicates which one of the parameters triggered the capture of the event.
Page 284 Viewing Neonatal Events Event The event summary line is located above the graph, along the top of the Summary Line task window. The user can view, at a glance, the total number of stored events. The events are divided into five categories: 1.
Page 285 19 Stored Events: The above example of an event summary line, conveys the following information: • A total of 19 neonatal events are stored. • Four Apnea events occurred, of which two resulted in a Desaturation. • Three isolated Bradycardia events occurred, none of them resulted in a Desaturation.
Page 286: Operating Controls
Viewing Neonatal Events If the event storage is full, the newest (49th on the right hand side and push the oldest (1st) event off the graph on the left hand side. This information cannot be retrieved. To document the event review before the event storage becomes overfull, you should initiate an event summary recording.
Page 287 Note— stored. Recording the Selecting the Event numerical data (not graphical) of all events displayed in the Event Review Summary task window for the last 24-hours, on the bedside M1116B Recorder Module. Please refer to the “Making Recordings” section of this manual (Chapter 6, Volume 1) for further details on recording neonatal events.
Page 288: Viewing Oxycrg Episodes
Pre and Post-Event Time. Manual Events are only shown with 4 minutes Pre-Event Time. Note— For further information on the Oxy-Cardiorespirography application, please consult the Philips Oxy-Cardiorespirography Application Note, part number: 5963-3949L. You can access the oxyCRG Episode task window by selecting: •...
Page 289 Viewing oxyCRG Episodes 1. The btb HR trend channel with a range from 60 up to 220 bpm. 2. The SpO trend channel with a range from 60 up to 100%. 3. The RESP compressed wave channel. Neonatal Event Review 9-15...
Page 290: Operating Controls
Viewing oxyCRG Episodes The exact time an event was triggered is indicated by a vertical line which is positioned on the graph according to the monitor's configuration. Depending upon the user's requirements, the monitor can be configured (in Configuration Mode) to display and store an oxyCRG Episode in the following way: •...
Page 291 Recording an Selecting the Episode episode in a graphical format on the bedside M1116B Recorder Module with fast paper speed. Please refer to the “Making Recordings” section of this manual (Chapter 6) for further details on recording neonatal events and associated oxyCRG episodes. Printing an Selecting the Episode...
Page 292: Adjusting Neonatal Event Review Settings
Adjusting Neonatal Event Review Settings Adjusting Neonatal Event Review Settings The Event Setup task window enables you to adjust event settings to determine how and when an event is detected and stored. You can access the Event Setup task window by selecting: Event Setup •...
Page 293: Event Criteria
The Event Setup task window enables you to adjust the following items: Trigger Mode Trig Threshold Trigger Time Event The event type (Apnea, Bradycardia, Desaturation) determines how a Criteria specific event is triggered and stored on the monitor. Apnea Event Apnea events are always triggered by a Red*** Apnea alarm.
Page 294 Adjusting Neonatal Event Review Settings Bradycardia Alarm Triggered Event Settings The Bradycardia event is triggered by a Red*** Brady alarm. The Bradycardia alarm limit can be viewed but not adjusted in the Event Setup task window. The alarm limit must be adjusted in Monitoring Mode in the HR/PULSE or Alarm Limits task window and the trigger time must be adjusted in Configuration Mode in the HR/PULSE task window.
Page 295: Operating Controls
Desaturation Alarm Triggered Event Settings The Desaturation events are derived from the first SpO2 bedside module and triggered either by a Red*** Desat alarm or a Yellow** low limit SpO2 alarm. The Desat/SpO2 alarms and trigger times can be viewed but not adjusted in the Event Setup task window.
Page 296 Adjusting Neonatal Event Review Settings Changing Item Selecting the Contents contents of an item. 9-22 Neonatal Event Review Change Content softkey enables you to change the...
Page 297: Data Transfer
This chapter describes the Philips M1235A Data Transfer module. It includes the following sections: • Data Transfer Module ......10-2 •...
Page 298: Data Transfer
Data Transfer Module Data Transfer Module The Philips M1235A Data Transfer module allows for rapid, convenient, and easy transfer of patient data among V24 and V26 Patient Monitors, CMS Patient Monitoring Systems and Component Transport Systems. For example, if a patient is moved to another location, the Data Transfer module can be used to transfer the patient's data, along with the patient, to the new location.
Page 299 Data Transfer Module M1235A V24/V26 Data Transfer 10-3...
Page 300 Data Transfer Module Data transfer presents no interruptions to realtime monitoring and provides near-continuous trends. However, some functions under Trends/Calcs of data. The ST Analysis task windows are unavailable during a transfer to the monitor. The front of the module has two keys: •...
Page 301: Symbols To Indicate Key Functions
When the module is unplugged, it retains data for at least one hour. After data is transferred to the monitor, the module is automatically erased. This is to ensure that the module is empty when it is used for the next transfer.
Page 302 Data Transfer Module The order in which the parameters are listed on the display is relative to the destination monitor, not the originating monitor. Patient demographics have the highest priority in the order of data being transferred. The aperiodic parameters are transferred next, before continuously monitored parameters, for each hour.
Page 303: Types Of Transfer
Types of Transfer There are two types of transfer to the module and one type of transfer to the monitor. To Module Transfer All Data Refernce before the transfer begins. After the transfer, updates continue once per minute until they are manually stopped. Collect New Data the current time is transferred to the module.
Page 304 Types of Transfer Updates continue once per minute until the transfer is manually stopped. 10-8 Data Transfer...
Page 305 Types of Transfer Append New Data to the Module (Patient not matching) Append New Data to the Module (Patient matching) Data Transfer 10-9...
Page 306: To Monitor
Types of Transfer To Monitor When a will be transferred to the destination monitor. If patient information exists in the monitor, the message “Discharge monitor patient before transfer?” gives you the option of erasing the previous patient's data before transferring. After a transfer to the monitor, the module contents are automatically erased.
Page 307: Transferring Blood Analysis Data
Transferring The transfer of blood analysis data from one monitor to another will vary Blood depending upon the software level of your monitor. Please refer to one of Analysis the scenarios on the next pages to transfer blood analysis data. Data Identifying the To identify the software release of your monitor, press...
Page 308 Types of Transfer Blood Analysis • Transferring data from a source monitor to a destination Data Transfer monitor where: Scenarios – The source monitor is: – The destination monitor is: 1. Plug the Data Transfer Module into the rack of the source 2.
Page 309 • Transferring data from a source monitor via a transit monitor to a destination monitor requires special handling if: – The source monitor and the destination monitor are: — CMS Release G or later or — V24 or V26 Release A.0 or later –...
Page 310: Combining Data
Combining Data Combining Data In some situations, the patient name and/or ID in the monitor and module may not match (see Append New Data display on previous page). In other cases, one or both names may be blank. The Data Transfer Combine Task Window enables you to combine files when the demographic data is missing or different.
Page 311 Database Conversion - Transfers to Module Monitor Database 16 param, 24hr, 1 min 16 param, 4 hr, 12 sec CMS Only: 16 param, 48 hr, ext 1 min 32 param, 24 hr, ext 1 min 16 param, 9 hr, ext 12 sec 32 param, 4 hr, ext 12 sec Transfers to the Monitor The following table shows the mapping for transfers to the monitor when...
Page 312 Combining Data Module Database Monitor Configuration 32 param, 12 hr, 1 min 16 param, 4 hr, 12 sec 32 param, 12 hr, 1 min 32 param, 24 hr, Ext 1 min 32 param, 12 hr, 1 min 16 param, 9 hr, Ext 12 sec 32 param, 12 hr, 1 min 32 param, 4 hr, Ext 12 sec 10-16...
Page 313: Vital Signs, Blood Review And Graphs
Vital Signs, Blood Review and Graphs Some functions under Trends and Procedures are unavailable during transfers of patient data. To the Monitor To the Module Caution Transferred data is not entered into the module database until up to one minute after it enters the monitoring system. Because of this delay, during updates to the module, some aperiodic data may not be transferred for up to 2 minutes after the actual time it was obtained.
Page 314: Reports
Vital Signs, Blood Review and Graphs The destination monitor creates the time stamp for transferred data by determining how old each data sample is and subtracting the age of the data from the current monitor time. Caution Hemodynamic, oxygenation, and ventilation calculations result values may show slightly different times before and after being transferred, because a different set of valid parameters was used for the calculation at calculation time.
Page 315: Troubleshooting
Troubleshooting Caution In a centrally networked system, if the previous patient is discharged only at the monitor and a new patient's data is transferred to the monitor, the new patient's name and ID will be overwritten by the central station's broadcast of the previous patient's name.
Page 316: Performance Specifications
Performance Specifications Performance Specifications For safety and environmental specifications, please refer to Chapter 11, “Monitor Installation and Patient Safety”. Data Transfer Time Transfer A typical transfer time for 24 hours of data is under 30 seconds. The Module transfer time could be as high as 60 seconds for highly customized trends.
Page 317: Monitor Installation And Patient Safety
Monitor Installation and Patient This chapter contains important information on the installation requirements for the monitor. It includes the following sections: • Introduction ........11-2 •...
Page 318: Introduction
• • ACMS • NCMS • Philips M1026A Anesthetic Gas Module • V24 and V26 The M1165/66/75/76A Systems are designed to comply with the following international safety requirements for medical electrical equipment: • UL 544 •...
Page 319 The M1205A V24 and V26 Patient Monitors and compatible modules and accessories are designed to comply with the following international safety requirements for medical electrical equipment: • UL 2601-1 • CSA C22.2 No. 601-1 • IEC 601-1 • IEC 601-1-1 Classification (IEC 601-1): Class 1, type CF, continuous operation.
Page 320 Introduction Caution If liquid is spilled on the equipment or accessories, contact your biomedical engineering department or the Philips Service Engineer. 11-4 Monitor Installation and Patient Safety...
Page 321: Installation Information
Installation Information Power The CMS systems and the Anesthetic Gas Module can be operated from Source an AC source of 100 - 120V Require- 50 - 60Hz. ments Typical input currents for the monochrome and color systems are: Monochrome CRT Color CRT Color Flatscreen Typical input current for the Anesthetic Gas Module is:...
Page 322 Installation Information If the computer and display module of the M1165/66/75/76A Systems and the Anesthetic Gas Module are set up together, connect the grounding wire to the equipotential grounding terminal on the display. If the computer and display module of the M1165/66/75/76A Systems and the Anesthetic Gas Module are separated, connect one grounding wire to the display, one to the computer module and one to the Anesthetic Gas Module.
Page 323 Installation Information Safety Ground Additional Protective Earth (Secondary Ground Wire) Hazardous (Protective leakage currents can be caused when other equipment is Earth) interconnected with either monitor. (V24 and V26 A secondary ground wire is provided with the CMS, V24 and V26 to only) comply with IEC 601-1-1.
Page 324: Combining Equipment
AC line cord is connected from the monitor to a properly grounded AC receptacle. When the V24CT or V26CT is operated in battery mode, the possibility of an electrical shock hazard is especially prevalent.
Page 325: Environment
Environ- To ensure a completely safe electrical installation, follow the instructions ment described later in this section. The environment where the system will be used should be reasonably free from vibration, dust, corrosive or explosive gases, extremes of temperature, humidity, and so on. For a cabinet mounted installation, allow sufficient room at the front for operation and sufficient room at the rear for servicing with the cabinet access door open.
Page 326 Installation Information Philips M1167/77A CMS for Critical, Anesthesia and Neonatal Care Operating Temperature Range 5 to 45 Humidity up to 95% RH at 40 up to 4,600m (15,000 ft) Altitude Range Philips M1165/66/75/76A CMS for Critical, Anesthesia and Neonatal Operating...
Page 327: Condensation
Warning Do not use cellular phones in the vicinity of the system. Cellular phones may generate excessive radiated fields which can disturb the specified function of the system. Philips M1205A V24CT and V26CT Storage ° ° C (41 to 95 -15 to 40ºC (5 to 104ºF)
Page 328: Explanation Of Symbols Used
Installation Information Explanation of Symbols used 11-12 Monitor Installation and Patient Safety Attention: Consult accompanying documents. This symbol appears next to certain connectors located on the front and/or rear of the instrument. It indicates that the connectors are designed to have special protection against electric shocks and are defibrillator proof.
Page 329 Installation Information Switch position is on/off. Contrast. Alternating current. Protective earth Contains parts to be recycled Contains parts which may not be put into the normal waste disposal but must be recycled or dealt with as chemical waste. Altitude or atmospheric pressure Temperature Humidity This symbol identifies the date of manufacture.
Page 330: Maintenance Checks
Do not use the system for any monitoring procedure on a patient if you identify features which demonstrate impaired functioning of the instrument. Contact the hospital biomedical engineer or the Philips Service Engineer. Maintenance Full performance checks including safety checks.
Page 331 Maintenance Frequency Electrical Safety Tests At least every two years, after system installation, after any repairs, or as needed. Testing of all cables and cords. Daily. Calibration of the measurement Every 2 years. modules where appropriate (For EU/EFTA countries only) User Tests Module dependent.
Page 332: Patient Cables And Leads
6 months. All checks which require the instrument to be opened must be made by qualified hospital service personnel. Safety and maintenance checks can also be made by Philips personnel. Warning Warning Failure on the part of the responsible individual hospital or...
Page 333: Controls And Connectors
Controls and Connectors This section describes the various controls and connectors on the front and/or rear panels of: • the Computer Modules • the Display Modules • the External Alarm Device • the Anesthetic Gas Module • the V24 and V26 Patient Monitor The Front The M1046A Computer Module is a component of the M1165A/66A/75A/ Panel of the...
Page 334 Controls and Connectors (1) Rack Connector (2) ECG Output (3) Module Connectors Connectors of The connectors on the front panel of the computer module are: the M1046A 1. Rack Connector; female interface connector used to connect a Computer satellite rack to the computer module. Module 2.
Page 335 The Front The M1046B Computer Module is a component of the M1167A/77A Panel of the System. The M1046B has a detachable front panel which must be removed M1046B to view the connectors (except for the ECG Output connector, which is Computer also visible when the front panel is attached).
Page 336 Controls and Connectors Connectors of The connectors on the front panel of the computer module are: the M1046B 1. Local Power Connector; a 3-pin, 90° connector is used to input the Computer local line voltage. Module 2. Rack Connector; female interface connector used to connect a satellite rack to the computer module.
Page 337 The Rear The rear panel of the M1046A and M1046B computer modules has several Panel of the connectors. The connectors, and their position, depends upon which M1046A/B function cards are fitted; as the rear panel is made up of small panels that Computer are attached to certain function cards.
Page 338 3. Philips monitoring network connectors (Philips Network Interface); these are Philips monitoring network connectors, used to input/output information to/from a Philips monitoring network. 4. Human Interface Connector (Utility CPU); this is a Philips HIL connector, used to input information from the keypad in the display module.
Page 339: The Rear Panel Of The Display Modules
8. HDLC Connector; this is used to connect to a STRIP recorder (such as the Philips M1117A). 9. Video Out Connector (CDSPC-Video or DSPC); this is a connector used to output information to be displayed on the display module.
Page 340 Controls and Connectors System Power Connector Local Power Connector Human Interface Connector Video Out Connector Video In Connector 11-24 Monitor Installation and Patient Safety M1092A/M1094A Display Module. Maximum Voltages 60 V 240 V 12 V...
Page 341 System Power Connector Human Interface Connector Local Power Connector Video Out Connector Video In Connector Controls of the 1. Video Termination Switch; thus switch is used to terminate the M1092A, video signal at this display: this must be switched to the “75 ” M1094A and position if only a master display is used and must be switched to the M1094B...
Page 342 Controls and Connectors 2. V AMP; this is the vertical amplitude control used to adjust the height of the displayed video. 3. V SHIFT; this is the vertical shift control used to adjust the vertical position of the displayed video. 4.
Page 343 6. Human Interface Link Connector; this is a Philips HIL connector, used to output the information from the keypad and control panel to the Utility CPU function card in the computer module. 7. Equipotential Grounding Terminal; this is a grounding stud connector, used to connect the system to an equipotential grounding system.
Page 344 25 pin pairs is used to input the video signal and the 60 V dc line voltage. 4. Human Interface Link Connector In; this is a Philips HIL connector used to connect the handheld keypad. 5. Human Interface Link Connector Out; this is a Philips...
Page 345: The Rear Panel Of The M1109A External Alarm Device
Utility CPU function card in the computer module. Device 3. Human Interface Link Connector In; this is a Philips HIL connector used to connect the handheld keypad. 4. Power on/off cable; this connects to the XGA Display Controller Board C’DSPC’-XGA in the M1046B Computer Module.
Page 346 ACMS. Do not apply a voltage greater than 12V to the RS232 Note— connections. 3. System Power Outlet (restricted use); this can be used to output power to the Philips M1165A/66A/75A/76A ACMS. 11-30 Monitor Installation and Patient Safety MONITOR...
Page 347: Assembling The System
Caution • The System Power Outlet cannot be used to output power to other devices such as the Philips M1167A/77A ACMS. • The System Power Outlet can only be used to supply power to the ACMS when the total leakage current does not exceed 300 µA.
Page 348 Controls and Connectors M1167/77A The display module (M1095A) cannot be attached to the computer System module (M1046B). It is designed for mounting on a horizontal or vertical rail such as an I.V. pole. For further details, please refer to the CMS Service Guide, chapter 2;...
Page 349 Controls and Connectors Lifting the Display Module The M1092A display module weighs 26 lbs (12kgs) The M1094A display module weighs 42 lbs (19kgs) The M1094B display module weighs 43 lbs (19.5kgs) When carrying the display module, hold it firmly from underneath. For safety reasons it is strongly recommended that at least two people should lift the display unit.
Page 350 1. AC Power Connector; this connector is used to connect the monitor to an AC power source. If you have a Philips M1026A Anesthetic Gas Module (AGM), do Note— not daisy-chain the AC power through the AGM. This configuration may degrade RFI performance.
Page 351 Warning Warning Connecting the Philips monitoring network (SDN) cable when the product is powered on is not supported. Error codes and Philips monitoring network (SDN) interface lock-up may occur. Power cycling the product will recover the product. No permanent damage will result. To prevent unintentional disruption in...
Page 352: Assembling The V24 And V26
Lifting the Display Module The V24, V24C and V26C display module weighs 11.3 lbs (5.1 kg). The V24CT and V26CT display module weight 14.8 lbs (6.7 kg) without batteries and 16.9 lbs (7.7 kg) with batteries. Use the monitor's handle when lifting or carrying the monitor.
Page 353: Accessories And Ordering Information
Accessories and Ordering Information M1276A M1041A 8120-5236 78599AI-#J03 78599AI-#J06 78599AI-#J10 78599AI-#J20 M1181-61625 40488A M1278A Check the parameter module sections of this manual for specific parameter module accessories. Accessories and Ordering Information Six Slot Satellite Rack Eight Slot Satellite Rack Four Meter Satellite Rack Cable 0.91 m (3 ft.) Local Distribution Cable 1.8 m (6 ft.) Local Distribution Cable 3.0 m (10 ft.) Local Distribution Cable...
Page 354 Accessories and Ordering Information 11-38 Monitor Installation and Patient Safety...
Page 355: Battery Information (V24Ct And V26Ct Only
Battery Information The V24CT and V26CT can be operated on AC line or DC battery power. This chapter provides information on battery power. It includes the following sections: • • • • • (V24CT and V26CT AC and DC (Battery) Operation ....12-2 Battery Indicator and Messages .
Page 356: Battery Information (V24Ct And V26Ct Only)
AC and DC (Battery) Operation AC and DC (Battery) Operation You should only use Philips 40488A 12 Volt sealed lead-acid batteries obtained from Philips Medical Systems for use with the Philips M1205A V24CT. Use of other camcorder-type batteries could result in inaccurate estimates of battery capacity remaining or in shorter battery life.
Page 357: Operating Instructions
Off or On. Caution Philips Medical Systems recommends you fully charge the batteries before using the V24CT for the first time. Plug the monitor into AC power (line power) for an initial charging cycle. • AC power is indicated by the •...
Page 358 When AC is connected and the monitor is on, the Battery Charge LEDs may take some time to cycle to the appropriate charge indication. The V24CT or V26CT may under report battery capacity during this setting period. Use the fuel gauge rather than the Battery Charge LEDs during this period to estimate battery capacity or turn the monitor off to accelerate the charge setting time.
Page 359 Note— In the event of AC power failure, the instrument’s battery is automatically activated so that no data or product information is lost. Battery Information (V24CT and V26CT only) 12-5 AC and DC (Battery) Operation Battery Charged...
Page 360: Battery Indicator And Messages
Battery #1 is the battery on the right when looking at the back of Note— the monitor. This battery corresponds to the #1 battery symbol graphic on the display screen. Vol 150 12-6 Battery Information (V24CT and V26CT only) 30/17 (23) EMPTY FULL Battery Fuel Gauge Battery Symbol Graphics...
Page 361 “HARDWARE MALFUNCTION” and an INOP alarm will sound (even if the alarms are suspended.) The will silence the tone for 3 minutes. The alarm will reoccur until the condition is corrected. Battery Information (V24CT and V26CT only) 12-7 Battery Indicator and Messages Silence/Reset...
Page 362: External Battery Charger
External Battery Charger External Battery Charger We suggest that you use the Philips M1278A external battery charger to charge the M1205A batteries. This battery charger can charge up to 4 sealed lead-acid batteries at one time in two-and-a-half hours. LED indicators will indicate the status of each battery during a charging cycle.
Page 363: Battery Care And Maintenance
Battery Care and Maintenance The Philips 40488A sealed lead-acid batteries used in the V24CT provide optimum performance and battery life when properly cared for. Proper handling of batteries is essential to the life of the battery and safety of the user.
Page 364: Care And Handling
If you need to dispose of the batteries, follow local laws for proper disposal. Be aware that batteries contain lead. Caution In the event electrolyte (sulfuric acid) contacts the skin, immediately flush with water and consult a physician. 12-10 Battery Information (V24CT and V26CT only)
Page 365: Accessories And Ordering Information
Accessories and Ordering Information 40488A M1278A Accessories and Ordering Information 12 Volt Lead-Acid Batteries Battery Charger Battery Information (V24CT and V26CT only) 12-11...
Page 366 Accessories and Ordering Information 12-12 Battery Information (V24CT and V26CT only)
Page 367: Maintenance
This chapter details the cleaning and maintenance procedures for the monitor. It includes the following sections: • General cleaning of the System ..... 13-2 •...
Page 368: General Cleaning Of The System
General cleaning of the System General cleaning of the System The patient monitor should be kept free of dust and dirt. Exterior cleaning of the case and screen is recommended. Clean it with a lint-free cloth, moistened with either warm water (40°C/104°F. max) and soap, a diluted non-caustic detergent or one of the approved cleaning agents listed below: Soaps...
Page 369 7. Do not allow cleaning agent to remain on any of the equipment surfaces - wipe it off immediately with a cloth dampened with water. Caution If you want to clean a touch enabled display such as the M1097A #A02 Flatscreen Display, the touch operation has to be disabled during the cleaning procedure.
Page 370: General Disinfecting Of The System
General Disinfecting of the System General Disinfecting of the System We recommend that you disinfect the product only when necessary as determined by your hospital’s policy, to avoid long term damage to the product. We also recommend that the products being disinfected be cleaned first, as described under “General cleaning of the System”...
Page 371 If you use a mouse and want to disinfect it, mouse operation has to be disabled during the cleaning procedure. Warning Warning Philips makes no claims regarding the efficacy of the listed chemicals or methods as a means of controlling infection. Consult your hospital’s infection Control Officer or Epidemiologist Notes—...
Page 372: Monitor Maintenance
Monitor Maintenance Monitor Maintenance The following is a list of the tasks and procedures to maintain the monitor. • Performance Assurance Test • Functional Testing procedures • Preventative Maintenance • Check Accuracy and Calibration of NBP and Temperature The recommended maintenance schedule is shown in the following table.
Page 373 Procedure Frequency Preventative Maintenance 2.5 years of continuous use Replace backlight tube or as needed assembly Perform the Preventive Cleaning procedures Maintenance Procedure for the M1180A #A01/A02 Wall Mount Assembly every year. Full performance checks At least every two years, including safety checks.
Page 374: Inspect The System
4. Verify the backlight tube brightness is adequate. If the brightness is not adequate, notify your biomedical department or the Philips representative. Philips recommends replacement of the backlight tube every 18 months of continuous use.
Page 375: Verify The Integrity Of The Display
Verify the Note the position of the contrast control on the V24 (or the brightness Integrity of control on the V24C/V24CT/V26C/V26CT) before starting tests so that they the Display are returned to their previous positions (assuming they are correct) at the end of the testing procedure.
Page 376: Perform A System Self-Test
Monitor Maintenance Perform a The following lists how to perform the system self-test. System Self- 1. Examine all controls for physical condition. During the course of Test this examination, ensure that the controls perform their proper function 2. Check that the parameter module LED's light up when first plugged in.
Page 377: Performance Assurance Checks
“Troubleshooting Instruments” in the Service Guide. If the screen comes up blank, check that the external power cable is plugged in. If the screen is still blank, contact your biomedical engineering department or the Philips representative. Performance Assurance Checks Maintenance 13-11...
Page 378 Performance Assurance Checks 4. If you are using the V24CT or V26CT, make sure the battery Charging and Charged LEDs are behaving consistent with the battery charged. The following table describes the LED behavior: Residual Capacity Up to 40% More than 40%, Less than 90%...
Page 379: Functional Testing Procedures
Functional The system has a module self-test which generates and displays test Testing waveforms and corresponding numerics for all the modules that are Procedures connected and turned on. The test signals are displayed for about 30 seconds and then the display returns to monitoring mode. The test signal will be displayed only if the system self-test was successful and the parameter is plugged into the system and turned on.
Page 380 Performance Assurance Checks Procedure 1. Choose a patient category (Adult/Pedi/Neo) by pressing: Overview Monitor Setup 2. Display 30 seconds of the waveforms and numerics of all connected modules by pressing: Monitor Setup 3. Repeat Step 2 as necessary to check the individual test waveforms and numerics for the category.
Page 381 Module Test Numeric Cardiac Output 5 l/min (+0.1 l/min) (Blood Temp: 37°C) (Inj Temp: 0°C) tcpO /tcpCO tcpO 60 mmHg (8.0 kPa) tcpCO 40 mmHg (5.3 kPa) ETCO 40 mmHg (6.0 kPa) IMCO 0 mmHg (0.0 kPa) AWRR 25 rpm Temperature 40°C (104°F) Performing...
Page 382: Performing The Invasive
Performance Assurance Checks Performing the Invasive Pressure Auto Check - The check for these modules is started every time the Module Self- system is switched ON and checks the complete module circuitry, Test including the sensitivity detection circuit. Self-Test - The test signals lasts about 30 seconds and then the display returns to the normal monitoring mode.
Page 383 Performing Auto Check - The NBP module performs a check periodically during the NBP operation. Module Self- Self-Test - None Test Performing Auto Check - None the SpO Self-Test - The SpO Pleth The integral waveform generator in the module produces test signals Module Self- using the current driver at the beginning of the processing circuitry.
Page 384 Performance Assurance Checks Performing Auto Check - The check is performed automatically when the system is the tcpO switched on, during calibration and continuously when no transducer is tcpCO connected. When the auto check fails, the INOP message “Equipment Module Self- Malfunction'' is given (refer to the Troubleshooting Chapter in the Test service manual for troubleshooting details).
Page 385 Performing Auto Check - None the CO Self-Test - The self-test may be performed at any time. The test signals Module Self- last about 30 seconds, and then the display returns to the normal Test monitoring mode. TEST - If a transducer is connected to the module, the following conditions must be met: •...
Page 386: Blood Analysis
Performance Assurance Checks Performing Auto Check - The Blood Analysis Module performs a check when the the Blood system is switched on Analysis Self-Test - The Self-Test with the External Simulator M3634A may be Module Self- performed at any time. Test TEST - Insert the External Simulator into the cartridge slot of the module.
Page 387 Tests for There are no Self-Tests for the M1032A Vuelink Module and the M1026A VueLink Anesthetic Gas Module. Module and The M1032A Vuelink Module performs automatic checks periodically Anesthetic during operation. The M1026A Anesthetic Gas Module performs a Gas Module 2-minute check automatically when the system is switched on.
Page 388 Performance Assurance Checks 13-22 Maintenance...
Page 389 1-14 operating instructions 12-3 accessories tcpO2/tcpCO2 6-48 Adjusting contrast volume control 3-35 Admit general information Alarm functions alarm limits, review of| 5-13 alarm reminder alarm symbol Alarms Selection Window audible alarms INOP priorities latching alarms non-latching alarms parameter alarms 5-10 resetting alarms SilenceReset key summary of alarm behavior...
Page 390 Monitor Setup Selection Window numeric display on/off 3-17 numeric positioning 3-18 operating modes 3-55 other patients controls 3-41 parameter settings transfer parameters on/of 3-33 recordings 3-40 screen display screen display selection screen display wave overlap screen display waveform speeds screen display waveforms status log function 3-42 test signals function...
Page 391 Loading paper four channel bedside recorder (M1117A) plug-in recorder (M1116A) plug-in recorder (M1116A/B) Main Screen 1-21 Monitor rear panel 11-34 rear panel connectors 11-35 Monitor Standby with Data Transfer 10-6 monitoring network network arrhythmia alarms 4-10 automatic alarm Other Patients multiple incoming alarms Operating levels 1-20...
Page 392 inserting a calibration signal loading paper 6-49 making calibrated ECG recordings making delayed recordings making non-preset recordings making procedure recordings making realtime configured recordings messages 6-46 queueing recordings 6-23 recording strip layouts 6-44 using a Patient Information Center Recording Types Alarm 6-12 Delayed...

This manual is also suitable for:

V26ct M1165 M1166 M1167 M1175 M1176 ... Show all

Philips V24CT User's Reference Manual

The CMS and V24 and V26 Patient Monitors

Getting Started

Setting up Your Monitor

Other Patients

Alarm Functions

Recording Functions

Admit/Discharge/End Case

Trends and Calculations

Neonatal Event Review

Data Transfer

Monitor Installation and Patient Safety

Battery Information (V24CT and V26CT Only)

Maintenance

Quick Links

Related Manuals for Philips V24CT

Summary of Contents for Philips V24CT